Provider Demographics
NPI:1154111607
Name:KAU HOSPITAL
Entity type:Organization
Organization Name:KAU HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL REVENUE CYLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-990-1874
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:PAHALA
Mailing Address - State:HI
Mailing Address - Zip Code:96777-0040
Mailing Address - Country:US
Mailing Address - Phone:808-932-4000
Mailing Address - Fax:
Practice Address - Street 1:45 MOHOULI ST STE 200
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7210
Practice Address - Country:US
Practice Address - Phone:808-932-4215
Practice Address - Fax:808-933-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health