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KOA COMMUNITY CLINIC, INC
NPI 1952920555
Clinic/Center - Community Health in Kailua Kona, HI

Active since April 13, 2020
75-5995 KUAKINI HWY STE 213, KAILUA KONA, HI 96740(808) 638-3343(844) 308-3545 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2024, Apr 13, 2020 (2 updates tracked since 2020).

About Koa Community Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOA COMMUNITY CLINIC, INC (NPI 1952920555) is a healthcare organization registered as a community health in Kailua Kona, Hawaii and active in the NPI registry since April 2020. The organization lists Corinne Maul De Soto, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1952920555
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameKOA COMMUNITY CLINIC, INC
Location Address75-5995 KUAKINI HWY STE 213Kailua Kona, HI 96740-2120
Mailing Address75-5995 Kuakini Hwy Ste 213Kailua Kona, HI 96740-2120 · (808) 638-3343 · Fax (844) 308-3545
Phone(808) 638-3343
Fax(844) 308-3545
Organization SubpartNo
Authorized OfficialCorinne Maul De SotoExecutive Director · (808) 638-3343
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1952920555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
75-5995 KUAKINI HWY STE 213, Kailua Kona, HI 96740
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALII COMMUNITY CARE, INC
General Practice
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Hawaii County (808) 329-1172
KOA CLINIC, INC
Clinic/Center
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Hawaii County (808) 638-3343
CORINNE MAUL DE SOTO ND
Naturopath
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Hawaii County (808) 638-3343
GAIL ROBISON ND
Naturopath
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Hawaii County (808) 638-3343

Frequently Asked Questions

What is KOA COMMUNITY CLINIC, INC's NPI number?

The NPI number assigned to this healthcare provider is 1952920555, enumerated as an "organization" on April 13, 2020.

Where is the provider located?

The provider is located at 75-5995 KUAKINI HWY STE 213 KAILUA KONA, HI 96740 and the phone number is (808) 638-3343.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.