KAU HOSPITAL (NPI# 1902977440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902977440 |
Entity Type | Organization |
Organization Name | KAU HOSPITAL |
Practice Address |
1 Kamani Street Pahala HI 96777 |
Mailing Address |
Po Box 40 Pahala HI 96777-0040 |
Practice Telephone | 8089282050 |
Practice Fax Number | 8089288980 |
Mailing Telephone | 8089282050 |
Mailing Fax Number | 8089288980 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2011-02-07 |
Authorized Official Name | MRS. MERILYN HARRIS (ADMINISTRATOR) |
Authorized Official Telephone | 8089282050 |
Is Organization Subpart | Y |
Parent Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 12Z301 | HI | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | 00567501 | 05 | |
HI | HMSA QUEST ICF | K005062 | 01 |
HI | HMSA OUTPATIENT | H005069 | 01 |
HI | HMSA65C ACUTE | A005064 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
1164083374 | Kau Hospital | Clinic/Center | 1285 Waianuenue Ave, Hilo, HI 96720-1209 | 2019-06-27 |
1174777916 | Kau Hospital | Clinic/Center | 15-2662 Pahoa Village Rd, Suite 303, Pahoa, HI 96778-7730 | 2008-11-06 |
1801966783 | Kau Hospital | Nursing Facility/Intermediate Care Facility | 1 Kamani Street, Pahala, HI 96777 | 2006-11-08 |
1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
Street Address |
1 KAMANI STREET |
City | PAHALA |
State | HI |
Zip Code | 96777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033177605 | Darrel Wayn Killebrew | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-05-03 |
1801966783 | Kau Hospital | Nursing Facility/Intermediate Care Facility | 1 Kamani Street, Pahala, HI 96777 | 2006-11-08 |
1013091305 | Harold D Dow | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
1649354911 | Chinyere Ekechuku | Internal Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
1386680916 | Carol Dexter Hayes | Family Medicine | 1 Kamani Street, Pahala, HI 96777-0000 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609409614 | 5-point United Allegiance Corp. | Nursing Care | 96-3215 Hau Street, Pahala, HI 96777 | 2020-02-18 |
1700928413 | Kau Community Pharmacy, Inc. | Pharmacy | 96-1115 Kamani Street, Suite 36, Pahala, HI 96777 | 2007-02-12 |
1497846349 | Patricia Lynn Mullen | Family Medicine | 1 Kamani St, Pahala, HI 96777 | 2006-09-27 |
1023171725 | Elizabeth Joyce Pacarro | Nurse Practitioner | 1 Kamani St, Pahala, HI 96777 | 2006-12-18 |
1760627202 | Sherrian Witt | Counselor | 1 Kamani St., Pahala, HI 96777-0917 | 2008-12-12 |
1881856367 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 96-3163 Pikake St, Pahala, HI 96777-9997 | 2008-06-26 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083181226 | Maui Health System A Kaiser Foundation Hospitals LLC | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2018-10-25 |
1942550173 | Kona Hospital | Medicare Defined Swing Bed Unit | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2012-09-14 |
1881858447 | Kahuku Medical Center | Medicare Defined Swing Bed Unit | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2008-07-14 |
1912062779 | Kohala Hospital | Medicare Defined Swing Bed Unit | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-22 |
1508927427 | Samuel Mahelona Memorial Hospital | Medicare Defined Swing Bed Unit | 4800 Kawaihau Road, Kapaa, HI 96746-1998 | 2006-12-13 |
1649345968 | Kauai Veterans Memorial Hospital | Medicare Defined Swing Bed Unit | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-21 |
1639257793 | Kula Hospital | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2006-11-02 |
1629154604 | Hale Ho'ola Hamakua | Medicare Defined Swing Bed Unit | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-31 |
1225113442 | Wilcox Memorial Hospital | Medicare Defined Swing Bed Unit | 3-3420 Kuhio Hwy, Lihue, HI 96766-1099 | 2006-10-26 |
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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.