Organization
KAU HOSPITAL
Active
Parent organization
HAWAII HEALTH SYSTEMS CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII HEALTH SYSTEMS CORPORATION
Authorized official
MRS. MERILYN J HARRIS (ADMINISTRATOR)
(808) 928-2050
Entity
Organization
Contact information
Practice address
1 KAMANI STREET, PAHALA, HI 96777
(808) 928-2050
(808) 928-8980
Mailing address
PO BOX 40, PAHALA, HI 96777-0040
(808) 928-2050
(808) 928-8980
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
121301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00567501
MEDICAID
HI
01
—
A005064
HMSA ACUTE
HI
01
—
B005062
HMSA SNF
HI
01
—
H005069
HMSA OUTPATIENT
HI
01
—
K005062
HMSA QUEST ICF
HI
Enumeration date
10/16/2006
Last updated
02/07/2011
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