1598785388 NPI number — REHABILITATION HOSPITAL OF THE PACIFIC

Table of content: (NPI 1598785388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598785388 NPI number — REHABILITATION HOSPITAL OF THE PACIFIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABILITATION HOSPITAL OF THE PACIFIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598785388
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
226 N KUAKINI ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-2421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-531-3511
Provider Business Mailing Address Fax Number:
808-544-3377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
226 N KUAKINI ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-531-3511
Provider Business Practice Location Address Fax Number:
808-544-3377
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NADOLNY
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
808-566-3815

Provider Taxonomy Codes

  • Taxonomy code: 283X00000X , with the licence number:  OHCA#35H , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00C0208557 . This is a "HMSA ALL SFW OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00A0052751 . This is a "HMSA INPATIENT PPS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51987901 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 144692903 . This is a "OWCP MILILANI OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50552101 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 96789B001 . This is a "CHAMPUS MILILANI OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00K0052759 . This is a "HMSA ALL MILILANI OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 144692902 . This is a "OWCP AIEA OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51990201 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 968170001 . This is a "CHAMPUS IP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 96701B001 . This is a "CHAMPUS AIEA OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00Q0052756 . This is a "HMSA ALL AIEA OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12302588 . This is a "UHA MEDICARE ALL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 485 . This is a "ALOHA CARE QUEST ALL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 96706B001 . This is a "CHAMPUS SFW OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 144692900 . This is a "OWCP NUUANU IP & OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51991001 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 96817B001 . This is a "CHAMPUS NUU OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00H0052756 . This is a "HMSA ALL NUU OP" identifier . This identifiers is of the category "OTHER".




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