Provider Demographics
NPI:1508576802
Name:MALUHIA HOSPITAL
Entity Type:Organization
Organization Name:MALUHIA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-832-6147
Mailing Address - Street 1:1027 HALA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2124
Mailing Address - Country:US
Mailing Address - Phone:808-832-5659
Mailing Address - Fax:808-832-1932
Practice Address - Street 1:1027 HALA DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2124
Practice Address - Country:US
Practice Address - Phone:808-832-5659
Practice Address - Fax:808-832-1932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MALUHIA HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI67594Medicaid