Active NPI
Linden Family Medicine Clinic LLC
- Family Medicine Physician
- Hilo, HI
National Provider Identifier
1780127225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LINDEN FAMILY MEDICINE CLINIC LLC
- Practice address
- 400 Hualani St
Ste 196
Hilo, HI 96720-4378 - Phone
- (808) 961-0146
- Fax
- (808) 969-3378
- NPI assigned
- Dec 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Rosemary Linden
- Title
- Manager/Owner
- Phone
- (808) 961-0146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
400 Hualani St
Ste 196
Hilo, HI 96720-4378
Mailing address
400 Hualani St
Ste 196
Hilo, HI 96720-4378
Phone (808) 961-0146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170302000824 | HI | Part B Supplier - Clinic/Group Practice | 3870877236 |
Receives reassigned benefits from 1 practitioner Practice locations: Hilo, HI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Eureka, CA
- NPI 1477647287
Family Medicine, HI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486080000000",
"number": "1780127225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HUALANI ST",
"address_2": "STE 196",
"city": "HILO",
"state": "HI",
"postal_code": "967204378",
"telephone_number": "808-961-0146",
"fax_number": "808-969-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HUALANI ST",
"address_2": "STE 196",
"city": "HILO",
"state": "HI",
"postal_code": "967204378",
"telephone_number": "808-961-0146",
"fax_number": "808-969-3378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDEN FAMILY MEDICINE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-01",
"last_updated": "2017-02-03",
"status": "A",
"authorized_official_last_name": "LINDEN",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "ROSEMARY",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "808-961-0146"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.