Provider Demographics
NPI:1225133457
Name:HAWAII MEDICAL CENTER WEST
Entity Type:Organization
Organization Name:HAWAII MEDICAL CENTER WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTYLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-547-6415
Mailing Address - Street 1:PO BOX 29759
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96820-2159
Mailing Address - Country:US
Mailing Address - Phone:808-678-7100
Mailing Address - Fax:808-678-7486
Practice Address - Street 1:91-2141 FORT WEAVER RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1993
Practice Address - Country:US
Practice Address - Phone:808-678-7100
Practice Address - Fax:808-678-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C0263560OtherHMSA QUEST - LTC ANCILLAR
HI00A0263564OtherHMSA - OUTPATIENT
HI00E0263565OtherHMSA QUEST - ICF WL
HI55823801Medicaid
HI0000263566OtherHMSA - ACUTE
HI00D0263568OtherHMSA QUEST - SNF WL
HI00B0263562OtherHMSA - ASC
HI00E0263565OtherHMSA QUEST - ICF WL
HI120027Medicare Oscar/Certification