OrganizationActive
Koa Community Clinic, Inc
NPI 1952920555 · Community Health Clinic/Center · Kailua Kona, HI
Provider details
- NPI number
- 1952920555
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corinne Maul De Soto, Executive Director(808) 638-3343
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75-5995 Kuakini Hwy Ste 213
Kailua Kona, HI 96740-2120
Phone: (808) 638-3343
Fax: (844) 308-3545
Street-level locationGet directions
Mailing address
75-5995 Kuakini Hwy Ste 213
Kailua Kona, HI 96740-2120
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2024-07-03
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.