1437227287 NPI number — KULA HOSPITAL

Table of content: (NPI 1437227287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437227287 NPI number — KULA HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KULA HOSPITAL
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:
1437227287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1585 KAPIOLANI BLVD. TEAM PRAXIS
Provider Second Line Business Mailing Address:
ALA MOANA PACIFIC CENTER, SUITE 1800
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96814-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-948-9332
Provider Business Mailing Address Fax Number:
808-949-0483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 KEOKEA PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KULA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96790-7450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-876-4331
Provider Business Practice Location Address Fax Number:
808-876-4332
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARRITY
Authorized Official First Name:
NERISSA
Authorized Official Middle Name:
GAYLE
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
808-876-4341

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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