Provider Demographics
NPI:1528132354
Name:KULA HOSPITAL
Entity type:Organization
Organization Name:KULA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-876-4301
Mailing Address - Street 1:100 KEOKEA PL
Mailing Address - Street 2:KULA HOSPITAL
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-7450
Mailing Address - Country:US
Mailing Address - Phone:808-876-4301
Mailing Address - Fax:808-876-4332
Practice Address - Street 1:100 KEOKEA PL
Practice Address - Street 2:KULA HOSPITAL
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-7450
Practice Address - Country:US
Practice Address - Phone:808-876-4301
Practice Address - Fax:808-876-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12038282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital