Canyon Primary Care Llc

LBN: Canyon Primary Care Llc
Canyon Primary Care Llc is an health care organization with primary practice located at 328 Uluniu St Ste 103 , Kailua HI 96734-2542. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Canyon Primary Care Llc can be contacted via phone (808) 263-3020, or through Canyon, Sarah via phone (808) 679-8518.

Contact Information

Primary practice address
328 Uluniu St Ste 103 Kailua HI 96734-2542
Phone: (808) 263-3020
Fax: (808) 762-1586
Website:
Map and Directions
Authorized official contact:
Name: Canyon, Sarah Doctor of Medicine (MD)
Phone: (808) 679-8518

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1295341550
LBN Legal business name Canyon Primary Care Llc
DBA Doing business as
Authorized official Canyon, Sarah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2020
Last updated Jan 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295341550 NPPES
Hawaii MEDICAID 814873

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