State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

FREESTANDING OUTPATIENT SURGICAL FACILITIES

aka AMBULATORY SURGICAL CENTERS

HAWAII:

NUMBER	FACILITY	MEDICARE	LOCATION
1	ALOHA SURGICAL CENTER 239 Hoohana Street Kahului, Hawaii 96732 Ph: (808) 893-0578 Fax: (808) 893-0580 Cynthia Hara Administrator Provider No. 12C0001009	X	MAUI
2	BIG ISLAND ENDOSCOPY CENTER, LLC 64-5188 Kinohou Street Kamuela, Hawaii 96743 Ph. (808) 887-0600 Fax: (808) 887-6699 Aulii Delenia Administrator Provider No. 12C0001013	X	HAWAII
3	CATARACT and VISION CENTER OF HAWAII 1712 Liliha Street, Suite 400 Honolulu, Hawaii 96817 Ph: (808) 524-1010 Fax: (808) 531-1030 Worldster Lee, M.D. Administrator Provider No. 12C0001006	X	OAHU
4	THE ENDOSCOPY CENTER 134 Puuhonu Way Hilo, Hawaii 96720 Ph: (808) 969-3979 Fax:(808) 935-7657 Jody Montell Administrator Provider No. 12C0001008	X	HAWAII
5	HAWAII ENDOSCOPY CENTERS, L.L.C. 2226 Liliha Street, Suite 307 Honolulu, Hawaii 96817 Ph: (808) 531-5823 Fax: (808) 531-5819 Linda Wallace Clinic Manager Provider No. 12C0001011	X	OAHU
6	HAWAIIAN EYE SURGICENTER 606 Kilani Avenue Wahiawa, Hawaii 96786 Ph: (808) 621-3111 Fax: (808) 621-2082 Tara L. Hopewell, R.N., ASN Nursing Services Director Provider No. 12C0001000	X	OAHU
7	HILO COMMUNITY SURGERY CENTER 82 Pu=uhonu Place, Suite 100 Hilo, Hawaii 96720 Ph: (808) 969-9669 Fax: (808) 969-9608 Carol Kekauoha, R.N. Administrator Provider No. 12C0001010	X	HAWAII
8	HONOLULU SPINE CENTER 500 Ala Moana Boulevard, Building 1, Suite 301 Honolulu, Hawaii 96813 Ph: (808) 237-2970 Fax: (808) 237-2971 Anita Wenska, RN Interim Administrator Provider No. 12C0001015	X	HAWAII
9	KAISER PERMANENTE HONOLULU CLINIC - ASC 1010 Pensacola Street Honolulu, Hawaii 96814 Ph: (808) 597-2611 Fax: (808) 597-2249 Patricia Lee Administrator Provider No. 12C0001012	X	OAHU
10	KAISER WAILUKU CLINIC ASC 80 Mahalani Street Wailuku, Hawaii 96793 Ph: (808) 243-6000 Fax: (808) 243-6090 Mary Hew Administrator Provider No. 12C0001100	X	MAUI
11	PACIFIC ENDOSCOPY CENTER, LLC 1029 Makolu Street, Suite 1 Pearl City, Hawaii 96782 Ph: (808) 456-6420 Fax: (808) 456-6421 Maryson Cabudoy, BSN, RN, CGRN Nurse Manager Provider No.: 12C0001016	X	OAHU
12	SURGICARE OF HAWAII 550 South Beretania Street, Suite 700 Honolulu, Hawaii 96813 Ph: (808) 528-2511 Fax: (808) 526-0651 Karl B. Klungreseter, RN Administrator Provider No. 12C0001003	X	OAHU
13	THE SURGICAL SUITES, LLC 1100 Ward Avenue, Suite 1001 Honolulu, Hawaii 96814 Ph: (808) 531-0127 Fax: (808) 599-4818 David Griffith Administrator Provider No. 12C0001004	X	OAHU

FREESTANDING OUTPATIENT SURGICAL FACILITIES

aka AMBULATORY SURGICAL CENTERS

PACIFIC AREA (AMERICAN SAMOA, GUAM, AND SAIPAN):

NUMBER	FACILITY	MEDICARE	LOCATION
1	GUAM SURGICENTER, LLC 633 Gov. Carlos C. Camacho Road, Suite 101 Tamuning, Guam 96913 Ph: (671) 646-3855 Fax: (671) 646-3854 Chuck Tanner Administrator Provider No. 65C0001000	X	GUAM
2	HAFA ADAI SPECIALIST GROUP Sunflower Villa 280 Pale San Vitores Road Tamuning, Guam 96913 Ph: (671) 647-4542 Fax: (671) 649-3056 Kia Rahmani, MD, President Provider No. 65C0001001	X	GUAM

OHCA/MEDICARE September 18, 2008 lk