1023113263 NPI number — HAWAII MEDICAL CENTER EAST

Table of content: (NPI 1023113263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023113263 NPI number — HAWAII MEDICAL CENTER EAST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAWAII MEDICAL CENTER EAST
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:
1023113263
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 29840
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:
96820-2240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-547-6011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2230 LILIHA 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:
96817-1646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-547-6011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KOSTYLO
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
808-547-6415

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00F0263951 . This is a "HMSA QUEST - ICF WL" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000263954 . This is a "HMSA - ACUTE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 55826201 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00A0263952 . This is a "HMSA - OUTPATIENT" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00H0263957 . This is a "HMSA QUEST - LTC ANCILLAR" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00B0263950 . This is a "HMSA - ASC" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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