HAWAII HEALTH SYSTEMS CORPORATION (NPI# 1366916868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366916868 |
| Entity Type | Organization |
| Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Practice Address |
4353 Waialo Rd Eleele HI 96705 |
| Mailing Address |
Po Box 669 Waimea HI 96796-0669 |
| Practice Telephone | 8083350579 |
| Practice Fax Number | 8083350581 |
| Mailing Telephone | 8083389493 |
| Mailing Fax Number | 8083380225 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | MR. LANCE K SEGAWA (REGIONAL CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8083389431 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HHSC - Kauai Region Clinics the Clinic at Port Allen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916066 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalani Kaumaka St # B-201, Koloa, HI 96756-8571 | 2019-05-08 |
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1477756245 | Hawaii Health Systems Corporation | Skilled Nursing Facility | 1180 Waianuenue Ave, Hilo, HI 96720-2020 | 2007-06-07 |
| 1679045124 | Hawaii Health Systems Corporation | Clinic/Center | 4489 Papalina Rd, Kalaheo, HI 96741 | 2018-12-21 |
| 1720550262 | Hawaii Health Systems Corporation | Clinic/Center | 4800 Kawaihau Rd, Kapaa, HI 96746 | 2018-12-21 |
| Street Address |
4353 WAIALO RD |
| City | ELEELE |
| State | HI |
| Zip Code | 96705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437255486 | Margaret Ann Merryman | Massage Therapist | 4353 Waialo Rd, 9b Port Allen Marina Center, Eleele, HI 96702-0207 | 2006-09-16 |
| 1821292061 | Maria Rose Parreno | Psychologist | 4353 Waialo Rd, Eleele, HI 96705 | 2007-06-12 |
| 1073717211 | Maria Parreno, Psy.d., Inc | Psychologist | 4353 Waialo Rd, Ste 13b, Eleele, HI 96705 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788241 | Emmanuel Salvador Melchor | Pharmacist | 4469 Waialo Road, Eleele, HI 96705 | 2019-09-11 |
| 1194382630 | Blessy Aspiras | Registered Nurse | 4750 Uliuli Rd, Eleele, HI 96705 | 2019-05-21 |
| 1699212274 | Joscelynn Jarquio | Assistant Behavior Analyst | 533 Leipapa Pl., Eleele, HI 96705 | 2017-01-20 |
| 1871910745 | Ralph A. Dupree, Md, LLC | Clinic/Center | 243 Keo Keo Road, Eleele, HI 96705 | 2014-03-27 |
| 1740459387 | Zina Marina Daniels | Physical Therapist | 4353 Waialo Road, 11a, Eleele, HI 96705 | 2008-02-28 |
| 1750409421 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Eleele Clinic, 4382 Waialo Rd, Eleele, HI 96705 | 2007-03-27 |
| 1497829139 | Thomas B. Williamson | Family Medicine | 4382 Waialo Rd, Eleele, HI 96705 | 2006-11-17 |
| 1235234303 | Steven J. Penner | Family Medicine | 4382 Waialo Road, Eleele, HI 96705 | 2006-09-14 |
| 1548292543 | C. Mitchell Jenkins | Internal Medicine | 4469 Waialo Rd, Eleele, HI 96705 | 2006-07-07 |
| 1922030923 | Virginia A. Beck | Nurse Practitioner | 4469 Waialo Rd., Eleele, HI 96705 | 2006-07-07 |
| Find all providers in zip 96705 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609991 | Orn Total Health Hawaii- Aila Olakino | Clinic/Center | 75-5749 Kalawa St Ste 101, Kailua Kona, HI 96740-1873 | 2020-08-12 |
| 1609486240 | Total Health Connection LLC | Clinic/Center | 15-2579 Keaau Pahoa Rd, Pahoa, HI 96778-6710 | 2020-08-07 |
| 1720697931 | Pacific Vascular Institute-kona | Clinic/Center | 75-184 Hualalai Rd Ste 100-101, Kailua Kona, HI 96740-1719 | 2020-07-24 |
| 1366065591 | The Queen's Medical Center | Clinic/Center | 1401 S Beretania St Ste 350, Honolulu, HI 96814-1871 | 2020-05-21 |
| 1700415387 | Kaimana Integrative Health Inc. | Clinic/Center | 25-246 Pukana La St, Hilo, HI 96720-1381 | 2020-04-05 |
| 1275167348 | Pacific Vascular Institute, LLC | Clinic/Center | 99-115 Aiea Heights Dr Ste 276b, Aiea, HI 96701-3924 | 2020-02-27 |
| 1619500394 | Vitra Eyewear Group LLC | Clinic/Center | 2233 Kalakaua Ave # B111e, Honolulu, HI 96815-5200 | 2020-02-20 |
| 1063079036 | Kos Integrative Health, LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 609, Honolulu, HI 96814-4403 | 2019-05-24 |
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.