Organization · Type 2 NPI

Samuel Mahelona Memorial Hospital

Rural Health Clinic/Center · Koloa, HI

NPI number 1033705074 Active

Practice location

2829 Ala Kalani Kaumaka St Ste B-201
Koloa, HI 96756-7549

Call (808) 742-0999 Map

Fax (808) 742-0990

Mailing address

PO Box 337
Waimea, HI 96796-0337

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1033705074
Entity type: Organization (Type 2)
Issued: Dec 14, 2020
Last updated: May 1, 2024
Status: Active
Subpart: Yes of Samuel Mahelona Memorial Hospital

Other names

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HHSC - Kauai Region Clinics Urgent Care at Poipu · doing business as
HHSC - Kauai Region Clinics Urgent Care at Poipu · doing business as

Authorized official

Christine Marie Asato
Regional CFO
(808) 338-9407

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033705074

Samuel Mahelona Memorial Hospital's National Provider Identifier is 1033705074, issued on Dec 14, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Koloa, HI. The record was last updated on May 1, 2024.