BAY CLINIC INC (NPI# 1053955120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053955120 |
| Entity Type | Organization |
| Organization Name | BAY CLINIC INC |
| Practice Address |
450 Kilauea Ave Ste 105 Hilo HI 96720-3089 |
| Practice Telephone | 8089614071 |
| Practice Fax Number | 8089615678 |
| Mailing Telephone | 8089614071 |
| Mailing Fax Number | 8089615678 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | THESLA SPENCER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8089614082 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Administration | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851676746 | Bay Clinic Inc | Dentist | 1257 Kilauea Ave, Suite 100, Hilo, HI 96720-4205 | 2011-10-11 |
| 1265482624 | Bay Clinic Inc | Psychologist | 15-2866 Pahoa Village Rd, Bldg C, Pahoa, HI 96778-7720 | 2006-05-10 |
| 1225086887 | Bay Clinic Inc | Nurse Practitioner | 1178 Kinoole St, Hilo, HI 96720-7206 | 2006-05-05 |
| 1487602918 | Bay Clinic Inc | Social Worker | 95-5583 Mamalahoa Hwy, Na'alehu, HI 96772-0070 | 2006-05-05 |
| 1255812137 | Bay Clinic Inc | Pharmacist | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2018-08-28 |
| 1568784304 | Bay Clinic Inc | Dietitian, Registered | 73 Puuhonu Pl, Rm 204, Hilo, HI 96720-2060 | 2010-02-22 |
| 1689814022 | Bay Clinic Inc | Registered Nurse | 15-2866 Pahoa Village Rd, Bldg F, Pahoa, HI 96778-7720 | 2009-02-25 |
| 1952548638 | Bay Clinic Inc | Dentist | 15-2866 Pahoa Village Rd, Pahoa, HI 96778-7720 | 2009-01-16 |
| 1104874619 | Bay Clinic Inc | Family Medicine | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2006-05-05 |
| Street Address |
450 KILAUEA AVE STE 105 |
| City | HILO |
| State | HI |
| Zip Code | 96720-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971846 | Hamakua Health Center, Inc. | Clinic/Center | 67-1123 Mamalahoa Hwy Ste 134, Kamuela, HI 96743-8451 | 2020-08-03 |
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1306347448 | Hamakua Health Center, Inc. | Clinic/Center | 35-2065 Old Mamalahoa Hwy, Laupahoehoe, HI 96764-9672 | 2018-02-23 |
| 1346656311 | West Hawaii Community Health Center, Inc. | Clinic/Center | 81-980 Halekii St Ste 107, Kealakekua, HI 96750-8177 | 2014-07-10 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1629330550 | Waikiki Health | Clinic/Center | Pier 1 Forrest Ave, Honolulu, HI 96813-2831 | 2012-06-15 |
| 1548521164 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2229 N School St, Honolulu, HI 96819-2588 | 2012-05-30 |
| 1063668473 | Waikiki Health | Clinic/Center | 415 Keoniana St, Honolulu, HI 96815-2018 | 2008-08-18 |
| 1730345190 | Waikiki Health Center | Clinic/Center | 66-090 Kamehameha Hwy, Queen Liluokalani Protestant Church, Haleiwa, HI 96712 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.