ALOHA FAMILY PRACTICE CLINIC LLC NPI 1164595229

NPI Information

NPI: 1164595229
Provider Name: ALOHA FAMILY PRACTICE CLINIC, LLC

Other Name: ALOHA CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
180 DICKENSON ST
SUITE 103
LAHAINA, HI
ZIP 96761
Phone: (808) 662-5642
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ALOHA FAMILY PRACTICE CLINIC, LLC is a primary care clinic center in Lahaina, HI. ALOHA FAMILY PRACTICE CLINIC, LLC NPI is 1164595229. The provider is registered as an organization entity type.
The provider Other Name Is Aloha Clinic.

The provider's business location address is:

180 DICKENSON ST
SUITE 103
LAHAINA, HI
ZIP 96761-215
Phone: (808) 662-5642
Fax: (808) 662-5642

The provider's authorized official is Douglas John Schusser .
The authorized official title is General Manager and has the following contact phone number (808) 662-5642.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD6743	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H55258	MEDICARE ID-TYPE UNSPECIFIED	HAWAII
2	05530701	MEDICAID	HAWAII
3	52799701	MEDICAID	HAWAII
4	=========	OTHER	HAWAII	HMAA
5	C87983	MEDICARE UPIN	HAWAII
6	191746I1	OTHER	HAWAII	SUMMERLIN
7	=========	OTHER	HAWAII	UHA
8	191746I1	OTHER	HAWAII	HMA
9	C063705	OTHER	HAWAII	HMSA PIN
10	062570275	OTHER	HAWAII	ALOHACARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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