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KONA KOHALA HEALTH CARE SERVICES INC NPI 1407928492


NPI Information

NPI: 1407928492
Provider Name: KONA KOHALA HEALTH CARE SERVICES INC

Doing Business As: KONA KOHALA MEDI CAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 12D1066453

Address:
75-137 HUALALAI RD
KAILUA KONA, HI
ZIP 96740
Phone: (808) 329-1346
Get Directions

KONA KOHALA HEALTH CARE SERVICES INC is an internal medicine in Kailua Kona, HI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KONA KOHALA HEALTH CARE SERVICES INC NPI is 1407928492. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kona Kohala Medi Cal Associates.

The provider's business location address is:

75-137 HUALALAI RD
KAILUA KONA, HI
ZIP 96740-703
Phone: (808) 329-1346
Fax: (808) 329-1575

The provider's authorized official is Richard A. Pekala .
The authorized official title is President and has the following contact phone number (808) 329-1346.

The CLIA number assigned to this NPI record is 12D1066453 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 9/4/2014.


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
1208D00000XGeneral PracticeNo
2207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A0026490OTHERHAWAIIHAWAII MEDICAL SVC ASSOC

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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