Koa Community Clinic, Inc

LBN: Koa Community Clinic, Inc
Koa Community Clinic, Inc is an health care organization with primary practice located at 75-5995 Kuakini Hwy Ste 213 , Kailua Kona HI 96740-2120. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Koa Community Clinic, Inc can be contacted via phone (808) 638-3343, or through Maul De Soto, Corinne via phone (808) 638-3343.

Contact Information

Primary practice address
75-5995 Kuakini Hwy Ste 213 Kailua Kona HI 96740-2120
Phone: (808) 638-3343
Fax: (844) 308-3545
Website:
Map and Directions
Authorized official contact:
Name: Maul De Soto, Corinne
Phone: (808) 638-3343

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1952920555
LBN Legal business name Koa Community Clinic, Inc
DBA Doing business as
Authorized official Maul De Soto, Corinne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2020
Last updated Jul 3rd, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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