Organization
SAMUEL MAHELONA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHELLE M D LORENZO (CFO)
(808) 338-9431
Entity
Organization
Contact information
Practice address
4800 KAWAIHAU ROAD, KAPAA, HI 96746
(808) 338-9431
(808) 338-9420
Mailing address
4800 KAWAIHAU ROAD, KAPAA, HI 96746
(808) 338-9431
(808) 338-9420
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
22-H
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578601
—
HI
Enumeration date
12/13/2006
Last updated
11/16/2016
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