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1598785388

NPI Code Detail

MEDICARE: REHABILITATION HOSPITAL OF THE PACIFIC

MEDICARE: REHABILITATION HOSPITAL OF THE PACIFIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital	OHCA#35H	HI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	12302588	OTHER		UHA MEDICARE ALL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00C0208557	OTHER		HMSA ALL SFW OP
2	00A0052751	OTHER		HMSA INPATIENT PPS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	144692903	OTHER		OWCP MILILANI OP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	96789B001	OTHER		CHAMPUS MILILANI OP
7	00K0052759	OTHER		HMSA ALL MILILANI OP
8	144692902	OTHER		OWCP AIEA OP
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	968170001	OTHER		CHAMPUS IP
11	96701B001	OTHER		CHAMPUS AIEA OP
12	00Q0052756	OTHER		HMSA ALL AIEA OP
14	485	OTHER		ALOHA CARE QUEST ALL
15	96706B001	OTHER		CHAMPUS SFW OP
16	144692900	OTHER		OWCP NUUANU IP & OP
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	96817B001	OTHER		CHAMPUS NUU OP
19	00H0052756	OTHER		HMSA ALL NUU OP

General Provider Information

NPI Number	:	1598785388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION HOSPITAL OF THE PACIFIC

Provider Business Mailing Address
First Line	:	226 N KUAKINI ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-2421
Country	:	US
Telephone Number	:	808-531-3511
Fax Number	:	808-544-3377

Provider Business Practice Location Address
First Line	:	226 N KUAKINI ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-2421
Country	:	US
Telephone Number	:	808-531-3511
Fax Number	:	808-544-3377

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	STEPHANIE NADOLNY
Credential	:
Telephone Number	:	808-566-3815

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/20/2022

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1760412175 — BRIAN B COMBS PH D
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1780602821 — RONALD BAROZZI PHD, PSY.D.
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1245254895 — DR. AMENDEEP K SOMAL M.D.
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1073537510 — REHABILITATION HOSPITAL OF THE PACIFIC
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1790896991 — DR. TON M CHIANG M.D.
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Directions to “REHABILITATION HOSPITAL OF THE PACIFIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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