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: August 09, 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
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

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.

General Practice
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Naturopath
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Clinic/Center
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740
Naturopath
75-5995 KUAKINI HWY STE 213
KAILUA KONA, HI 96740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koa Community Clinic, Inc's NPI number?

The NPI number for Koa Community Clinic, Inc is 1952920555. It was assigned to this organization in the NPPES registry on April 13, 2020.

Where is Koa Community Clinic, Inc located?

Koa Community Clinic, Inc is located at 75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740. The listed phone number is (808) 638-3343.

What is Koa Community Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Koa Community Clinic, Inc was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.