Provider Demographics
NPI:1982394243
Name:MOLOKAI FAMILY & URGENT CARE
Entity Type:Organization
Organization Name:MOLOKAI FAMILY & URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAOHIMANU
Authorized Official - Middle Name:LYDIA K DANG
Authorized Official - Last Name:AKIONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-375-7478
Mailing Address - Street 1:PO BOX 4575
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-0575
Mailing Address - Country:US
Mailing Address - Phone:808-375-7478
Mailing Address - Fax:434-302-9654
Practice Address - Street 1:39 ALA MALAMA AVE
Practice Address - Street 2:
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-880-3321
Practice Address - Fax:808-475-0061
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOHALA COAST URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty