QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
NPI 1780177493
General Practice in Kamuela, HI

Q: What is Queen's North Hawaii Community Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 08, 2018CLIA 12D2025808 · Waiver

65-1267 KAWAIHAE RD, KAMUELA, HI 96743(808) 881-4745 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2021, May 20, 2019 (2 updates tracked since 2019).

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About Queen's North Hawaii Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NPI 1780177493) is a healthcare organization registered as a general practice in Kamuela, Hawaii and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Erlynn Tabac, Business Services Manager, as its authorized official.

NPPES Registry Identity

NPI1780177493

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameQUEEN'S NORTH HAWAII COMMUNITY HOSPITAL

Location Address65-1267 KAWAIHAE RDKamuela, HI 96743-7345

Mailing Address67-1125 Mamalahoa HwyKamuela, HI 96743-8496

Phone(808) 881-4745

Organization SubpartNo

Authorized OfficialErlynn TabacBusiness Services Manager · (808) 881-4626

Enumeration DateJune 8, 2018

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1780177493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

65-1267 KAWAIHAE RD, Kamuela, HI 96743

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Other Identifiers 1

Medicaid518607HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2025808

Queen's North Hawaii Community Hospital Primary Care Clinic · Kamuela, HI

Active · expires Jun 15, 2027

CLIA Number12D2025808

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJune 16, 2025

Certificate Expiration DateJune 15, 2027

Laboratory DirectorDr. Crystal Hammer

Laboratory Phone(808) 881-4745

Laboratory LocationQueen's North Hawaii Community Hospital Primary Care Clinic65-1267 Kawaihae Rd, Kamuela, HI 96743

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILARIE LYNN MSN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)