KOA COMMUNITY CLINIC INC NPI 1952920555

NPI Information

  • NPI: 1952920555
  • Provider Name: KOA COMMUNITY CLINIC, INC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 75-5995 KUAKINI HWY STE 213
    KAILUA KONA, HI
    ZIP 96740
  • Phone: (808) 638-3343

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NPI Details

KOA COMMUNITY CLINIC, INC is a community health clinic center in Kailua Kona, HI. KOA COMMUNITY CLINIC, INC NPI is 1952920555. The provider is registered as an organization entity type.

The provider's business location address is:

75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI
ZIP 96740-120
Phone: (808) 638-3343
Fax: (844) 308-3545

The provider's authorized official is Corinne Maul De Soto .
The authorized official title is Executive Director and has the following contact phone number (808) 638-3343.

The enumeration date for this NPI number is 4/13/2020 and was last updated on 7/3/2024.

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
1261QC1500XClinic/CenterCommunity HealthYes
2261QR1300XClinic/CenterRural HealthNo

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: 11/21/2025

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