National Provider Identifier Database

SAMUEL MAHELONA MEMORIAL HOSPITAL
Critical Access


Contact Information

SAMUEL MAHELONA MEMORIAL HOSPITAL
4800 KAWAIHAU ROAD
KAPAA, HI96746
Phone: 808-338-9431
Fax: 808-338-9420
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for SAMUEL MAHELONA MEMORIAL HOSPITAL

NPI Number 1619038536
Legal business name
LBN
SAMUEL MAHELONA MEMORIAL HOSPITAL
Authorized official RACHELLE LORENZO - (CFO)
Entity Organization
Organization subpart No
Enumeration date 12/13/2006
Last updated 11/16/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • HI License #: 22-H
  • HI Medicaid: 578601

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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