Sunnyside Medical Clinic Llc

LBN: Sunnyside Medical Clinic Llc
Sunnyside Medical Clinic Llc is an health care organization with primary practice located at 1005 Keolu Dr Ste A , Kailua HI 96734-3873. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Sunnyside Medical Clinic Llc can be contacted via phone (808) 727-1715, or through Shanks, Michelle via phone (808) 825-0190.

Contact Information

Primary practice address
1005 Keolu Dr Ste A Kailua HI 96734-3873
Phone: (808) 727-1715
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shanks, Michelle Nurse Practitioner (NP)
Phone: (808) 825-0190

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1407362395
LBN Legal business name Sunnyside Medical Clinic Llc
DBA Doing business as
Authorized official Shanks, Michelle Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2017
Last updated Dec 12th, 2019 - about 6 years 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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