Organization
KONA HOSPITAL
Active
Other names
Kona Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES Y. LEE FACHE (CEO)
(808) 322-6970
Entity
Organization
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-9311
(808) 322-4488
Mailing address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-9311
(808) 322-4488
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
19-H
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L0005151
BLUE CROSS SENIOR PSYCH
HI
Enumeration date
10/20/2006
Last updated
09/18/2020
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