Basic Information
| Provider Information | |||||||||
| NPI: | 1023113263 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAWAII MEDICAL CENTER EAST | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 29840 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968202240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085476011 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2230 LILIHA ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968171646 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085476011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 10/10/2011 | ||||||||
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| AuthorizedOfficialLastName: | KOSTYLO | ||||||||
| AuthorizedOfficialFirstName: | MARIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8085476415 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 00F0263951 | 01 | HI | HMSA QUEST - ICF WL | OTHER | 0000263954 | 01 | HI | HMSA - ACUTE | OTHER | 55826201 | 05 | HI | MEDICAID | 00A0263952 | 01 | HI | HMSA - OUTPATIENT | OTHER | 00H0263957 | 01 | HI | HMSA QUEST - LTC ANCILLAR | OTHER | 00B0263950 | 01 | HI | HMSA - ASC | OTHER |