Provider Demographics
NPI:1710175898
Name:NORTH HAWAII COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:NORTH HAWAII COMMUNITY HOSPITAL
Other - Org Name:NORTH HAWAII COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:808-881-4467
Mailing Address - Street 1:67 1125 MAMALAHOA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-881-4460
Mailing Address - Fax:808-881-4464
Practice Address - Street 1:67 1125 MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743
Practice Address - Country:US
Practice Address - Phone:808-881-4460
Practice Address - Fax:808-881-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5643336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2019625OtherPK