Healthcare Provider Details

I. General information

NPI: 1306909874
Provider Name (Legal Business Name): HAWAII MEDICAL CENTER EAST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST
HONOLULU HI
96817-1646
US

IV. Provider business mailing address

PO BOX 29840
HONOLULU HI
96820-2240
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-6000
  • Fax:
Mailing address:
  • Phone: 808-547-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MARIA KOSTYLO
Title or Position: CEO
Credential:
Phone: 808-547-6415