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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005157
BLUE CROSS ACUTE
HI
05
—
00577401
—
HI
01
—
00H0005150
BLUE CROSS OP
HI
01
—
00P0005152
BLUE CROSS ASC
HI
Enumeration date
07/06/2006
Last updated
12/29/2020
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