Organization
KOHALA COAST URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYNICE AKAKA (OFFICE MANAGER)
(808) 880-3321
Entity
Organization
Contact information
Practice address
62-100 KAUNAOA DR, KAMUELA, HI 96743-9749
(808) 989-3885
Mailing address
62-100 KAUNAOA DR, KAMUELA, HI 96743-9749
(808) 989-3885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
05/15/2023
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