Organization Name: | SAMUEL MAHELONA MEMORIAL HOSP |
NPI Number: | 1508927427 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL G. PEREL (CFO) |
Mailing Address: | 4800 Kawaihau Rd Kapaa |
State: | HI US |
Postal Code: | 967461998 |
Phone Number: | 8088224961 |
Fax Number: | 8088234100 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 22-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |