Provider Demographics
NPI:1831146281
Name:TRIPLER ARMY MEDICAL CENTER
Entity Type:Organization
Organization Name:TRIPLER ARMY MEDICAL CENTER
Other - Org Name:PACIFIC REGIONAL MEDICAL COMMAND
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF, PATIENT & BUSINESS SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:NASH
Authorized Official - Last Name:KEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:808-433-1016
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5000
Mailing Address - Country:US
Mailing Address - Phone:808-433-1016
Mailing Address - Fax:808-433-9025
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-5000
Practice Address - Country:US
Practice Address - Phone:808-433-6661
Practice Address - Fax:808-433-9025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital
No261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
No261QM1101XAmbulatory Health Care FacilitiesClinic/CenterMilitary and U.S. Coast Guard Ambulatory Procedure
No332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
No341800000XTransportation ServicesMilitary/U.S. Coast Guard Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AN2598588OtherMEDCO
1204027OtherPHARMACY NCPDP
VAD000Medicare UPIN
AN2598588OtherMEDCO