State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

HOSPITALS

HAWAII:

Number	Facility	Accreditation Status	Certification Status	*CAH	Psychiatric Unit	Swing Beds	Licensed Beds	Location
1	CASTLE MEDICAL CENTER 640 Ulukahiki Street Kailua, Hawaii 96734 Ph: (808) 263-5500 Fax: (808) 263-5123 Kevin A. Roberts President/CEO Provider No. 120006	JCAHO 08/07	X		55		160	OAHU
2	HALE HO'OLA HAMAKUA 45-547 Plumeria Street Honokaa, Hawaii 96727 Ph: (808) 775-7211 Fax: (808) 775-9977 Romel Dela Cruz Administrator Provider No. 121307		X	X		4	4	HAWAII
3	HAWAII MEDICAL CENTER EAST 2230 Liliha Street Honolulu, Hawaii 96817 Ph: (808) 547-6011 Fax: (808) 547-6616 Catherine Tanaka, RN, MPH Administrator Provider No. 120010	JCAHO 08/06	X				188	OAHU
4	HAWAII MEDICAL CENTER WEST 91-2141 Fort Weaver Road Ewa Beach, Hawaii 96706 Mailing Address: 2230 Liliha Street Honolulu, Hawaii 96817 Ph: (808) 547-6011 Fax: (808) 547-6616 Bruce Carmichael Administrator Provider No. 120027	JCAHO 05/06	X				102	OAHU
5	HAWAII STATE HOSPITAL 45-710 Keaahala Road Kaneohe, Hawaii 96744 Ph: (808) 247-2191 Fax: (808) 247-7335 William T. Elliott Acting Administrator	JCAHO 10/05			190		190	OAHU
6	HILO MEDICAL CENTER 1190 Waianuenue Avenue Hilo, Hawaii 96720 Ph: (808) 974-4700 Fax: (808) 974-4746 Howard Ainsley Chief Executive Officer Provider No. 120005	JCAHO 09/05	X		20		138	HAWAII
7	KAHI MOHALA 91-2301 Fort Weaver Road Ewa Beach, Hawaii 96706 Ph: (808) 671-8511 Fax: (808) 677-2570 Mark R. Mitchell, Ph.D. Chief Executive Officer Provider No. 124001	JCAHO 11/03	X		88		88	OAHU
8	KAHUKU MEDICAL CENTER 56-117 Pualalea Street Kahuku, Hawaii 96731 Ph: (808) 293-9221 Fax: (808) 293-2262 Stephany Vaioleti Administrator Provider No. 121304		X	X			13	OAHU
9	KAISER FOUNDATION HOSPITAL 3288 Moanalua Road Honolulu, Hawaii 96819 Ph: (808) 432-0000 Fax: (808) 432-7736 William F. Haug Regional Hospital Administrator Provider No. 120011	JCAHO 05/06	X				285	OAHU
10	KAPIOLANI MEDICAL CENTER for WOMEN and CHILDREN 1319 Punahou Street Honolulu, Hawaii 96826 Ph: (808) 983-6000 Fax: (808) 983-6086 Ray Vara Chief Executive Officer Provider No. 123300	JCAHO 10/06					197	OAHU
11	KAU HOSPITAL 1 Kamani Street Pahala, Hawaii 96777 Mailing Address: P. O. Box 40 Pahala, Hawaii 96777 Ph: (808) 928-2050 Fax: (808) 928-8980 Merilyn Harris Administrator Provider No. 121301		X	X		5	5	HAWAII
12	KAUAI VETERANS MEMORIAL HOSPITAL 4643 Waimea Canyon Road Waimea, Hawaii 96796 Mailing Address: P. O. Box 337 Waimea, Hawaii 96796 Ph: (808) 338-9431 Fax: (808) 338-9420 Orianna Skomoroch, M.A., C.R.A. Kauai Regional CEO Provider No. 121300	JCAHO 10/05	X	X		10	25	KAUAI
13	KOHALA HOSPITAL 54-383 Hospital Road Kapaau, Hawaii 96755 Mailing Address: P. O. Box 10 Kapaau, Hawaii 96755 Ph: (808) 889-6211 Fax: (808) 889-6978 Jay E. Kruzer Regional Chief Executive Officer Provider No. 121302		X	X		4	4	HAWAII
14	KONA COMMUNITY HOSPITAL 79-1019 Haukapila Street Kealakekua, Hawaii 96750 Ph: (808) 322-9311 Fax: (808) 322-4479 Jay E. Kruzer Regional Chief Executive Officer Provider No. 120019	JCAHO 08/05	X		11		60	HAWAII
15	KUAKINI MEDICAL CENTER 347 North Kuakini Street Honolulu, Hawaii 96817 Ph: (808) 536-2236 Fax: (808) 547-9547 Gary K. Kajiwara President and Chief Executive Officer Provider No. 120007	JCAHO 02/05	X				212	OAHU
16	KULA HOSPITAL 100 Keokea Place Kula, Hawaii 96790-7450 Ph: (808) 878-1221 Fax: (808) 878-1791 Mary Lou Carter, RN Interim Administrator Provider No. 121308		x	x		5	5	MAUI
17	LANAI COMMUNITY HOSPITAL 628 7th Street Lanai City, Hawaii 96763 Mailing Address: P. O. Box 630650 Lanai City, Hawaii 96763 Ph: (808) 565-6411 Fax: (808) 565-6887 John Schaumburg Administrator Provider No. 121305		X	X		4	4	LANAI
18	LEAHI HOSPITAL 3675 Kilauea Avenue Honolulu, Hawaii 96816 Ph: (808) 733-8000 Fax: (808) 733-7914 Vincent H. S. Lee, ACSW, FACHE Oahu Regional CEO Provider No. 122001		X				11	OAHU
19	MAUI MEMORIAL MEDICAL CENTER 221 Mahalani Street Wailuku, Hawaii 96793-2526 Ph: (808) 442-5101 Fax: (808) 442-5112 Wesley Lo Regional Chief Executive Officer Provider No. 120002	JCAHO 10/05	X		18		213	MAUI
20	MOLOKAI GENERAL HOSPITAL 280 Home Olu Place Kaunakakai, Hawaii 96748 Mailing Address: P. O. Box 408 Kaunakakai, Hawaii 96748 Ph: (808) 553-5331 Fax: (808) 553-3133 Janice Kalanihuia President Provider No. 121303	TJC 12/09	X	X		6	13	MOLOKAI
21	NORTH HAWAII COMMUNITY HOSPITAL 67-1125 Mamalahoa Highway Kamuela, Hawaii 96743 Mailing Address: P.O.Box 2799 Kamuela, Hawaii 96743 Ph: (808) 885-4444 Fax: (808) 881-4404 Ken Wood Chief Executive Officer Provider No. 120028	JCAHO 06/07	X				39	HAWAII
22	PALI MOMI MEDICAL CENTER 98-1079 Moanalua Road Aiea, Hawaii 96701 Ph: (808) 486-6000 Fax: (808) 486-1382 Ray Vara Chief Executive Officer Provider No. 120026	JCAHO 10/06	X				116	OAHU
23	QUEEN’S MEDICAL CENTER 1301 Punchbowl Street Honolulu, Hawaii 96813 Ph: (808) 538-9011 Fax: (808) 547-4018 Art Ushijima President and Chief Executive Officer Provider No. 120001	JCAHO 10/06	X		63		505	OAHU
24	REHABILITATION HOSPITAL OF THE PACIFIC 226 North Kuakini Street Honolulu, Hawaii 96817 Ph: (808) 531-3511 Fax: (808) 544-3335 Timothy J. Roe, MD President & Chief Executive Officer Provider No. 123025	JCAHO 03/05	X				69	OAHU
25	SAMUEL MAHELONA MEMORIAL HOSPITAL 4800 Kawaihau Road Kapaa, Hawaii 96746 Ph: (808) 822-4961 Fax: (808) 822-5781 Myra B.W. Ornellas, RN Interim Hospital Administrator Provider No. 121306		X	X	9	5	14	KAUAI
26	SHRINERS HOSPITAL FOR CHILDREN 1310 Punahou Street Honolulu, Hawaii 96826 Ph: (808) 941-4466 Fax: (808) 942-8573 Stan B. Berry, MPH, FACHE Administrator Provider No. 123301	TJC 02/11	X				24	OAHU
27	STRAUB CLINIC AND HOSPITAL 888 South King Street Honolulu, Hawaii 96813 Ph: (808) 522-4000 Fax: (808) 522-4141 Ray Vara Chief Executive Officer Provider No. 120022	JCAHO 05/06	X				159	OAHU
28	WAHIAWA GENERAL HOSPITAL 128 Lehua Street Wahiawa, Hawaii 96786 Ph: (808) 621-8411 Fax: (808) 621-4490 R. Don Olden Chief Executive Officer Provider No. 120004	TJC 08/11	X		10		53	OAHU
29	WILCOX MEMORIAL HOSPITAL 3420 Kuhio Highway Lihue, Hawaii 96766 Ph: (808) 245-1100 Fax: (808) 245-1171 Kathleen Clark, RN, BSN, MBA Chief Operating Officer and Chief Nurse Executive Provider No. 120014	JCAHO 12/05	X			7	72	KAUAI

OHCA/Medicare April 30, 2012; sk

LEGEND:

* Critical Access Hospital (“CAH”)