| Keauhou Urgent Care Incorporated | |
|
78-6831 Alii Dr Ste 416 Kailua Kona HI 96740-5403 | |
| (808) 322-2544 | |
| Not Available |
| Full Name | Keauhou Urgent Care Incorporated |
|---|---|
| Speciality | General Practice |
| Location | 78-6831 Alii Dr Ste 416, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Ileana Sanchez (OWNER) |
| Authorized Official Contact | 8083222544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keauhou Urgent Care Incorporated 78-6831 Alii Dr Ste 416 Kailua Kona HI 96740-5403 Ph: (808) 322-2544 | Keauhou Urgent Care Incorporated 78-6831 Alii Dr Ste 416 Kailua Kona HI 96740-5403 Ph: (808) 322-2544 |
| NPI Number | 1851433924 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 02/25/2020 |
| Medicare PECOS PAC ID | 0244270700 |
|---|---|
| Medicare Enrollment ID | O20050504000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851433924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD 11998 (Hawaii) | Primary |
| Provider Name | Ileana C Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225170558 PECOS PAC ID: 0446290902 Enrollment ID: I20050504001040 |
| Provider Name | Stephen H Denzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992742654 PECOS PAC ID: 3779526314 Enrollment ID: I20050606000429 |
| Provider Name | Charles W Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063499333 PECOS PAC ID: 8921095316 Enrollment ID: I20070814000347 |
| Provider Name | Chandrakant C Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487891784 PECOS PAC ID: 2860795028 Enrollment ID: I20160121001008 |
| Provider Name | Michael M Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073023115 PECOS PAC ID: 8921346750 Enrollment ID: I20190819003404 |
| Provider Name | Natalie E Streeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245469915 PECOS PAC ID: 1557496908 Enrollment ID: I20200914002544 |
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