| Nahale Family Clinic | |
|
77-6403 Nalani St Unit 1 Kailua Kona HI 96740-9763 | |
| (808) 376-1665 | |
| Not Available |
| Full Name | Nahale Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 77-6403 Nalani St Unit 1, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Jeannie Clement (CEO) |
| Authorized Official Contact | 8017066726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nahale Family Clinic Po Box 28 Kailua Kona HI 96745 Ph: (801) 706-6726 | Nahale Family Clinic 77-6403 Nalani St Unit 1 Kailua Kona HI 96740-9763 Ph: (808) 376-1665 |
| NPI Number | 1013598200 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 1052710530 |
|---|---|
| Medicare Enrollment ID | O20210603001747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013598200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carmen Lynda Tsiopanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598278798 PECOS PAC ID: 4385994888 Enrollment ID: I20210617002632 |
| Provider Name | Robert Philip Albares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225081177 PECOS PAC ID: 2163409103 Enrollment ID: I20220413002125 |
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