Ac Med LLC.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AC MED LLC.

Practice address

73-4976 Kamanu St Ste 110
Kailua Kona, HI 96740-2694

Phone

(808) 300-3441

Fax

(808) 731-4628

NPI assigned

Jan 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Gallagher, PA-CNPI 1629366125

Title

Business Director

Phone

(808) 300-3441

Specialties & licenses 1

Addresses

Other names 1

• Kaloko Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher James Gallagher, PA-C

  • Medical Physician Assistant
  • Ephrata, PA
  • NPI 1629366125

  HI

  Medicare reassignment Care Compare group Authorized official
• Alexandra Ditullio, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1710243886
  Medicare reassignment Care Compare group NPD
• Michael McKinley Fountain, FNP-BC

  • Family Nurse Practitioner
  • Kealakekua, HI
  • NPI 1073023115
  Medicare reassignment Care Compare group NPD
• Misti Blandford, PAC

  • Physician Assistant
  • Kailua Kona, HI
  • NPI 1346269412
  Medicare reassignment Care Compare group
• Jonathan S. Yankes, PA-C

  • Physician Assistant
  • Eastville, VA
  • NPI 1639570153

  HI

  Medicare reassignment
• Audrey R McCandless, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1205165370
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1699480376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4178",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-4976 KAMANU ST STE 110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402694",
            "telephone_number": "808-300-3441",
            "fax_number": "808-731-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC MED LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "808-300-3441",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaloko Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Urgent Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.