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
DENISE MACKEY (ADMINISTRATOR)
(808) 932-4102
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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
12Z301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00567501
—
HI
01
—
A005064
HMSA65C ACUTE
HI
01
—
H005069
HMSA OUTPATIENT
HI
01
—
K005062
HMSA QUEST ICF
HI
Enumeration date
11/13/2006
Last updated
08/28/2024
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