Canyon Primary Care Llc | |
328 Uluniu St Ste 103 Kailua HI 96734-2542 | |
(808) 263-3020 | |
(808) 762-1586 |
Full Name | Canyon Primary Care Llc |
---|---|
Speciality | Family Medicine |
Location | 328 Uluniu St Ste 103, Kailua, Hawaii |
Authorized Official Name and Position | Sarah Canyon (OWNER) |
Authorized Official Contact | 8086798518 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Canyon Primary Care Llc 328 Uluniu St Ste 103 Kailua HI 96734-2542 Ph: () - | Canyon Primary Care Llc 328 Uluniu St Ste 103 Kailua HI 96734-2542 Ph: (808) 263-3020 |
NPI Number | 1295341550 |
---|---|
Provider Enumeration Date | 09/21/2020 |
Last Update Date | 01/03/2022 |
Medicare PECOS PAC ID | 3476963596 |
---|---|
Medicare Enrollment ID | O20201030002355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295341550 | NPI | - | NPPES |
814873 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amanda J Mcfarland |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1669517546 PECOS PAC ID: 3375447113 Enrollment ID: I20140328000140 |
Provider Name | Sarah J Canyon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588082259 PECOS PAC ID: 6002185725 Enrollment ID: I20170711003290 |
Provider Name | Alyssa Los |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1699420380 PECOS PAC ID: 9638514193 Enrollment ID: I20240224000029 |
Castle Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Aulike St, Kailua, HI 96734 Phone: 808-263-5011 | |
Midpacific Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Uluniu St Fl 4, Kailua, HI 96734 Phone: 808-261-3326 | |
Windward Digestive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Ulukahiki St, Suite 302, Kailua, HI 96734 Phone: 808-440-6789 Fax: 808-440-6777 | |
Amh Series Ii, Hi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Uluniu St Ste D, Kailua, HI 96734 Phone: 901-757-5783 | |
About Face Kailua, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 Phone: 808-343-6341 Fax: 808-443-0297 | |
Christian W. Boyens, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 | |
The Medical Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Kailua Rd, Kailua, HI 96734 Phone: 808-954-4500 Fax: 808-266-3904 |