Physician Primary Care Float Honolulu - Who is ready to Island Hop! The VA Pacific Islands Health Care System provides access to patient care to over 30,000 veterans across a 2.6M square mile area of the Pacific Ocean. Remote Island locations, separated by great distances of ocean, is the environment in which the VAPIHCS delivers a full range of comprehensive health care services. The VAPIHCS operates eight community-based outpatient clinics (CBOCs) covering seven county areas. These outpatient clinics are in America Samoa, Guam, Hilo, Kauai, Kona, Leeward, Windward, and Maui. VAPIHCS is a Level 2 facility within the VA Sierra Pacific Network (VISN 21). Spark M. Matsunaga Medical Center Honolulu, HI The Physician position is located primarily in Hon