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TRADE WINDS FAMILY MEDICINE LLC NPI 1851529580


NPI Information

NPI: 1851529580
Provider Name: TRADE WINDS FAMILY MEDICINE, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 12D2002199

Address:
970 N KALAHEO AVE
STE. C-306
KAILUA, HI
ZIP 96734
Phone: (808) 263-7383
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TRADE WINDS FAMILY MEDICINE, LLC is a clinic center in Kailua, 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). TRADE WINDS FAMILY MEDICINE, LLC NPI is 1851529580. The provider is registered as an organization entity type.

The provider's business location address is:

970 N KALAHEO AVE
STE. C-306
KAILUA, HI
ZIP 96734-866
Phone: (808) 263-7383

The provider's authorized official is Kimberly Kay Mccauley Lund .
The authorized official title is Medical Director and has the following contact phone number (808) 372-2420.

The CLIA number assigned to this NPI record is 12D2002199 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2009 and was last updated on 7/1/2009.


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/CenterDOS-856HAWAIIYes

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
156992301MEDICAIDHAWAII
2H100734MEDICARE UPINHAWAII

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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