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Contact Information

FOOT CARE CLINIC LLC
71-1411 PUU KAMANU LN
#82
KAILUA-KONA, HI96740-8334
 Phone: 808-896-8847
 Fax: 808-325-1035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Enterostomal Therapy

163WE0900X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for FOOT CARE CLINIC LLC

NPI # 1750418232
LBN Legal business name FOOT CARE CLINIC LLC
Authorized official MICHIKO SATO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 10/26/2010 - About 16 years ago
Identifiers
HI License # 788
HI Other 0000262147 HMSA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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