| Samuel Mahelona Memorial Hospital | |
|
2829 Ala Kalani Kaumaka St Ste B-201 Koloa HI 96756-7549 | |
| (808) 742-0999 | |
| (808) 742-0990 |
| Full Name | Samuel Mahelona Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 2829 Ala Kalani Kaumaka St Ste B-201, Koloa, Hawaii |
| Authorized Official Name and Position | Christine Marie Asato (REGIONAL CFO) |
| Authorized Official Contact | 8083389407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Mahelona Memorial Hospital Po Box 337 Waimea HI 96796-0337 Ph: (808) 338-9431 | Samuel Mahelona Memorial Hospital 2829 Ala Kalani Kaumaka St Ste B-201 Koloa HI 96756-7549 Ph: (808) 742-0999 |
| NPI Number | 1033705074 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 1759271216 |
|---|---|
| Medicare Enrollment ID | O20210204002793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033705074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hawaii Health Systems Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2829 Ala Kalanikuamaka St, Koloa, HI 96756 Phone: 808-742-0999 Fax: 808-742-0990 |