HONOLULU VAMC (NPI# 1396791356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396791356 |
| Entity Type | Organization |
| Organization Name | HONOLULU VAMC |
| Other Organization Name | HILO VA CLINIC |
| Practice Address |
45 Mohouli St Hilo HI 96720-7210 |
| Mailing Address |
Po Box 94406 Cleveland OH 44101-4406 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hilo VA CBOC | Other Name - Individual/Organization |
| HILO VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
| 1568879526 | Honolulu Vamc | Clinic/Center | Marina Heights Business Park - Garapan, Mh-ii Building Suite 100 and 206, Saipan, MP 96950 | 2014-07-22 |
| 1962683474 | Honolulu Vamc | Clinic/Center | Fiatele Teo Army Reserve Building, Pago Pago, AS 96799-9992 | 2007-11-27 |
| 1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
| 1700826401 | Honolulu Vamc | Clinic/Center | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2006-06-08 |
| 1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
| 1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
| 1831148386 | Honolulu Vamc | General Acute Care Hospital | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-10 |
| Street Address |
45 MOHOULI ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858295 | Stephen A Warsh | General Practice | 45 Mohouli St, Hilo, HI 96720-4145 | 2006-04-03 |
| 1720603715 | Kevin Masao Iwasaki | Social Worker | 45 Mohouli St, Hilo, HI 96720-7210 | 2020-06-15 |
| 1265968275 | Andrea Nicole Warsh | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2017-05-11 |
| 1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
| 1992256515 | Allyson Wong | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2016-10-19 |
| 1336594704 | Kapaakea Charles Puaa | Student in an Organized Health Care Education/Training Program | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720 | 2016-05-04 |
| 1285982876 | Leilani Kerr | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720 | 2012-08-29 |
| 1225385347 | Hilo Urgent Care, LLC | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2012-08-08 |
| 1235491986 | Gutteling Enterprises | Orthopaedic Surgery | 45 Mohouli St, Suite 102, Hilo, HI 96720-7210 | 2012-06-08 |
| 1891920567 | Jacqueline Gardner | Physician Assistant | 45 Mohouli St, Hilo, HI 96720-7210 | 2009-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
| 1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
| 1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
| 1063881449 | Spark Matsunaga Va Medical Center | Clinic/Center | 459 Patterson Road, Honolulu, HI 96819 | 2015-09-16 |
| 1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
| 1639515679 | Dept of Veterans Affairs | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2013-05-17 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1578653127 | Ken C. Arakawa Md Inc. | Clinic/Center | 1329 Lusitana St Ste 206, Honolulu, HI 96813-2411 | 2006-10-13 |
| 1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
| 1962453522 | Veterans Administration Pacific Island Health Care System | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-16 |
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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.