ST. FRANCIS MEDICAL CENTER - KAUAI DIALYSIS (NPI# 1669535035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669535035 |
| Entity Type | Organization |
| Organization Name | ST. FRANCIS MEDICAL CENTER - KAUAI DIALYSIS |
| Practice Address |
3224 Elua St Lihue HI 96766-1213 |
| Mailing Address |
Po Box 29700 Honolulu HI 96820-2100 |
| Practice Telephone | 8085476000 |
| Mailing Telephone | 8085476000 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SISTER AGNELLE CHING (CEO) |
| Authorized Official Telephone | 8085476000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 51898801 | 05 |
| Street Address |
3224 ELUA ST |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171588 | Liberty Dialysis Hawaii, LLC | Clinic/Center | 3224 Elua St, Lihue, HI 96766-1213 | 2006-06-12 |
| 1275724718 | Michelle Leigh Jackson | Dietitian, Registered | 3224 Elua St, Lihue, HI 96766-1213 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171588 | Liberty Dialysis Hawaii, LLC | Clinic/Center | 3224 Elua St, Lihue, HI 96766-1213 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160909 | Usrc Waianae, LLC | Clinic/Center | 86-120 Farrington Hwy Ste B211, Waianae, HI 96792-3072 | 2020-10-08 |
| 1447872395 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 2226 Liliha St Fl 2, Honolulu, HI 96817-1600 | 2020-05-14 |
| 1164059168 | Usrc Ewa Beach, LLC | Clinic/Center | 91-919 Fort Weaver Rd Ste 110, Ewa Beach, HI 96706-2257 | 2020-03-27 |
| 1467971465 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 500 Ala Moana Blvd Ste 7302, Honolulu, HI 96813 | 2017-09-12 |
| 1073060638 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 4380 Lumehana Street, Honolulu, HI 96818-3137 | 2016-09-01 |
| 1366804478 | Usrc Beretania, LLC | Clinic/Center | 1908 S Beretania St, Honolulu, HI 96826-1308 | 2016-03-28 |
| 1487037206 | Liberty Dialysis Hawaii LLC | Clinic/Center | 10 Hoohui Rd Ste 100, Lahaina, HI 96761-9257 | 2015-06-30 |
| 1881075414 | Dialysis Newco Inc | Clinic/Center | 889 Kamokila Blvd, Kapolei, HI 96707-2061 | 2015-06-09 |
| 1497017495 | Dialysis Newco Inc | Clinic/Center | 94-862 Kahuailani St, Waipahu, HI 96797-3341 | 2012-06-14 |
| 1164684825 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 94-450 Mokuola St, Waipahu, HI 96797-3300 | 2008-06-25 |
| 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.