Organization Active NPI

Keauhou Urgent Care Incorporated

  • General Practice Physician
  • Kailua Kona, HI
National Provider Identifier
1851433924
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD 11998 Issued in HI
Legal business name
KEAUHOU URGENT CARE INCORPORATED
Practice address
78-6831 Alii Dr Ste 416
Kailua Kona, HI 96740-5403
Phone
(808) 322-2544
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Ileana Sanchez, M.D.
Title
Owner
Phone
(808) 322-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MD 11998 HI Primary

Addresses

Primary practice location

78-6831 Alii Dr Ste 416
Kailua Kona, HI 96740-5403

Mailing address

78-6831 Alii Dr Ste 416
Kailua Kona, HI 96740-5403
Phone (808) 322-2544

National Provider Directory

National Provider Directory

Locations

78-6831 Alii Dr
Ste 416
Kailua Kona, HI 96740
Phone (808) 322-2544

78-6831 Alii Dr
Ste K9
Kailua Kona, HI 96740
Phone (808) 322-2544

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1851433924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 416",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-322-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 416",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-322-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAUHOU URGENT CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-322-2544",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD 11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.