1598785388 NPI number — REHABILITATION HOSPITAL OF THE PACIFIC

Table of Contents

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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