| Koa Community Clinic, Inc | |
|
75-5995 Kuakini Hwy Ste 213 Kailua Kona HI 96740-2120 | |
| (808) 638-3343 | |
| (844) 308-3545 |
| Full Name | Koa Community Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 75-5995 Kuakini Hwy Ste 213, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Corinne Maul De Soto (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8086383343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koa Community Clinic, Inc 75-5995 Kuakini Hwy Ste 213 Kailua Kona HI 96740-2120 Ph: (808) 638-3343 | Koa Community Clinic, Inc 75-5995 Kuakini Hwy Ste 213 Kailua Kona HI 96740-2120 Ph: (808) 638-3343 |
| NPI Number | 1952920555 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952920555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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