Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koa Community Clinic, Inc

Organization Community Health Clinic/Center · NPI 1952920555

Koa Community Clinic, Inc is a Community Health Clinic/Center in Kailua Kona, Hawaii. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

75-5995 Kuakini Hwy Ste 213
Kailua Kona, HI 96740-2120
Phone: (808) 638-3343
Fax: (844) 308-3545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1952920555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corinne Maul De Soto — Executive Director · (808) 638-3343
NPI enumeratedApril 13, 2020
Last updated in NPPESJuly 3, 2024
Certification dateSeptember 6, 2023
Mailing address75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740-2120