NPI Code Detail JSON Logo

1316785066 NPI number — MOHALA HEALTH INCORPORATED

NPI Number: 1316785066
Health Care Provider/Practitioner: MOHALA HEALTH INCORPORATED

Information about “1316785066” NPI (MOHALA HEALTH INCORPORATED) exists in 1316785066 in HTML format HTML  |  1316785066 in plain Text format TXT  |  1316785066 in PDF (Portable Document Format) PDF  |  1316785066 in an XML format XML  formats.

NPI Number : 1316785066 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316785066",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOHALA HEALTH INCORPORATED",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "75-184 HUALALAI RD STE 205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAILUA KONA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96740-1719",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-489-4827",
    "MailingAddressFaxNumber": "808-762-1392",
    "FirstLinePracticeLocationAddress": "75-184 HUALALAI RD STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KAILUA KONA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96740-1719",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-489-4827",
    "PracticeLocationAddressFaxNumber": "808-762-1392",
    "EnumerationDate": "07/17/2024",
    "LastUpdateDate": "12/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "ESTHER",
    "AuthorizedOfficialMiddleName": "Y",
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "808-769-8699",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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