STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1396922035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396922035 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | MAUI MEMORIAL HOSPITAL-PROFESSIONAL SERVICE |
| Practice Address |
121 Mahalani St Wailuku HI 96793-2528 |
| Mailing Address |
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 |
| Practice Telephone | 8089842154 |
| Mailing Telephone | 8085907320 |
| Mailing Fax Number | 8085907320 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | RAQUEL NAKAHARA (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Telephone | 8085907320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 53937204 | 05 |
| Other Name | Type Code |
|---|---|
| Maui Memorial Hospital-Professional Service | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 2007-12-13 |
| 1942483839 | State of Hawaii Department of Health | Community/Behavioral Health | 730 Lanai Ave, Suite 6, Lanai City, HI 96763 | 2007-12-13 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1891978789 | State of Hawaii Department of Health | Community/Behavioral Health | 67-5189 Kamamalu St, Kamuela, HI 96743 | 2007-12-13 |
| 1346423233 | State of Hawaii Department of Health | Community/Behavioral Health | 3-3212 Kuhio Highway, Lihue, HI 96766 | 2007-12-13 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1083897979 | State of Hawaii Department of Health | Community/Behavioral Health | 15-2866 Govt. Road Pahoa Town Center, Bldg. E, Pahoa, HI 96778 | 2007-12-13 |
| 1710263504 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| Street Address |
121 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233477 | Rick J. Long | Social Worker | 121 Mahalani St, Wailuku, HI 96793-2528 | 2005-05-23 |
| 1356995039 | Patricia L Codorniz | Registered Nurse | 121 Mahalani St, Wailuku, HI 96793-2528 | 2019-07-30 |
| 1891210084 | Marina U. Khrapov | Social Worker | 121 Mahalani St, Wailuku, HI 96793-2528 | 2017-08-08 |
| 1568991115 | Wilma Garduque Batino | Licensed Practical Nurse | 121 Mahalani St, Wailuku, HI 96793-2528 | 2017-06-07 |
| 1467981019 | Loida Dominno Sanchez | Licensed Practical Nurse | 121 Mahalani St, Wailuku, HI 96793-2528 | 2017-06-07 |
| 1023454055 | Danna Tabisola | Social Worker | 121 Mahalani St, Wailuku, HI 96793-2528 | 2013-05-16 |
| 1194057000 | Gary A Hickey | Counselor | 121 Mahalani St, Wailuku, HI 96793-2528 | 2010-02-02 |
| 1548494842 | Michelle Rene Dudoit | Social Worker | 121 Mahalani St, Wailuku, HI 96793-2528 | 2009-05-14 |
| 1295918183 | State of Hawaii Department of Health | Community/Behavioral Health | 121 Mahalani St, Wailuku, HI 96793 | 2007-12-13 |
| 1073632337 | Barbara Apo | Social Worker | 121 Mahalani St, Wailuku, HI 96793-2528 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1013379460 | Maui Health System A Kaiser Foundation Hospitals LLC | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2581 | 2016-03-24 |
| 1053710889 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2526 | 2014-08-18 |
| 1952650764 | Hawaii Healthcare System Corporation | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2526 | 2012-09-07 |
| 1982972493 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2011-12-12 |
| 1629167754 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942626650 | Brindy Ramirez Paet | General Acute Care Hospital | 91-1020 Mikohu Street Apt 21a, Ewa Beach, HI 96706 | 2014-03-06 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1922398825 | Kaiser Permanante | General Acute Care Hospital | 1225 15th Ave, Honolulu, HI 96816-3840 | 2011-04-12 |
| 1699973503 | Jonathan Dworkin | General Acute Care Hospital | 1407 Koko Head Ave, Honolulu, HI 96816-3234 | 2007-07-03 |
| 1699868422 | St. Francis Medical Center - West | General Acute Care Hospital | 91-2141 Fort Weaver Road, Ewa Beach, HI 96706 | 2006-10-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1477559029 | North Hawaii Community Hospital,inc | General Acute Care Hospital | 67-1125 Mamalahoa Hwy, Kamuela, HI 96743-8496 | 2005-06-27 |
| 1215939335 | Kuakini Medical Center | General Acute Care Hospital | 347 N Kuakini St, Honolulu, HI 96817-2306 | 2005-06-01 |
| 1336591684 | Sakda Sathirareuangchai | General Acute Care Hospital | 55 S Kukui St, Apt D607, Honolulu, HI 96813-2310 | 2016-07-11 |
| 1811369408 | The Queen's Medical Center | General Acute Care Hospital | 1301 Punchbowl St, Honolulu, HI 96813 | 2015-10-22 |
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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.