| Samuel Mahelona Memorial Hospital | |
| 
					4800 Kawaihau Road Kapaa HI 96746-1998  | |
| (808) 338-9431 | |
| (808) 338-9420 | 
| Full Name | Samuel Mahelona Memorial Hospital | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 4800 Kawaihau Road, Kapaa, Hawaii | 
| Authorized Official Name and Position | Rachelle M D Lorenzo (CFO) | 
| Authorized Official Contact | 8083389431 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samuel Mahelona Memorial Hospital 4800 Kawaihau Road Kapaa HI 96746-1998 Ph: (808) 338-9431  | Samuel Mahelona Memorial Hospital 4800 Kawaihau Road Kapaa HI 96746-1998 Ph: (808) 338-9431  | 
| NPI Number | 1255406575 | 
|---|---|
| Provider Enumeration Date | 11/21/2006 | 
| Last Update Date | 11/16/2016 | 
| Medicare PECOS PAC ID | 1759271216 | 
|---|---|
| Medicare Enrollment ID | O20220803003018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255406575 | NPI | - | NPPES | 
| 592388 | Medicaid | HI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 22 H (* (Not Available)) | Primary | 
Dr Susan Hall Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4566 Ohia St, Kapaa, HI 96746 Phone: 808-651-4860 Fax: 808-822-7048  | |
Jackie Guadagnoli, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4-1558 Kuhio Hwy, Kapaa, HI 96746 Phone: 808-392-1111 Fax: 808-245-8762  | |
Trueself Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4-1629 Suite C1 Kuhio Hwy, Kapaa, HI 96746 Phone: 808-400-0047  | |
Anne Dorre, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4566 Ohia St, Suite D, Kapaa, HI 96746 Phone: 808-634-0569  | |
Blair Keener Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5702 Olohena Rd, Kapaa, HI 96746 Phone: 808-651-7465  | |
Tanya Gamby, Ph.d. Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4-1558 Kuhio Hwy, Kapaa, HI 96746 Phone: 808-821-2027 Fax: 808-821-2028  |