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EVOLVE MEDICAL CENTER LLC NPI 1366019143


NPI Information

NPI: 1366019143
Provider Name: EVOLVE MEDICAL CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
75-5722 KUAKINI HWY STE 103
KAILUA KONA, HI
ZIP 96740
Phone: (808) 444-3477
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EVOLVE MEDICAL CENTER, LLC is a clinic center in Kailua Kona, HI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVOLVE MEDICAL CENTER, LLC NPI is 1366019143. The provider is registered as an organization entity type.

The provider's business location address is:

75-5722 KUAKINI HWY STE 103
KAILUA KONA, HI
ZIP 96740-721
Phone: (808) 444-3477
Fax: (808) 444-3478

The provider's authorized official is Shannon Price-schwartz .
The authorized official title is Owner and has the following contact phone number (808) 937-4961.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 11/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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: 4/28/2024

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