BAY CLINIC INC (NPI# 1255812137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255812137 |
| Entity Type | Organization |
| Organization Name | BAY CLINIC INC |
| Other Organization Name | BAY CLINIC PHARMACY |
| Practice Address |
16-192 Pili Mua St Keaau HI 96749-8134 |
| Mailing Address |
450 Kilauea Ave Ste 105 Hilo HI 96720-3089 |
| Practice Telephone | 8089030400 |
| Mailing Telephone | 8089614071 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | YOULSAU BELLS (INTERIM CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8089614088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
HI | Suppliers |
| Other Name | Type Code |
|---|---|
| Bay Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955120 | Bay Clinic Inc | Clinic/Center | 450 Kilauea Ave Ste 105, Hilo, HI 96720-3089 | 2019-11-01 |
| 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 |
| 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 |
16-192 PILI MUA ST |
| City | KEAAU |
| State | HI |
| Zip Code | 96749-8134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184606899 | Amy J Duerler | Nurse Practitioner | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2005-11-17 |
| 1871113084 | Timothy Jonathan Chuang | Student in an Organized Health Care Education/Training Program | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2020-04-17 |
| 1215556741 | Joshua Bussard | Student in an Organized Health Care Education/Training Program | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2020-04-14 |
| 1932734118 | Chloey Lynsie Jones | Student in an Organized Health Care Education/Training Program | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2020-03-07 |
| 1932766987 | Lauren Yap | Student in an Organized Health Care Education/Training Program | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2019-05-24 |
| 1750635157 | Naomi Summer Whitaker | Nurse Practitioner | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2012-11-07 |
| 1386903631 | Heather Lenore Cantori | Dentist | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2012-05-07 |
| 1033419742 | Kenneth Ooka | Pharmacist | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2010-10-27 |
| 1780833566 | Claudia Marie Roman | Registered Nurse | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2008-09-16 |
| 1679772693 | Jacob Evans | Family Medicine | 16-192 Pili Mua St, Keaau, HI 96749-8134 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326959 | Presence of Mind Inc | Counselor | 15-1942 7th Ave., Keaau, HI 96749 | 2020-11-06 |
| 1700498102 | Thomas Gerard Camenzind | Massage Therapist | 16-426 Brookover Street, Keaau, HI 96749 | 2020-08-18 |
| 1225674542 | Jennifer Archer | Behavior Technician | 16-556 Kea'au Pahoa Rd, 188-111, Kea'au, HI 96749 | 2019-11-21 |
| 1124672712 | Jill Jenkins | Registered Nurse | 15-1680 9th Ave, Keaau, HI 96749 | 2019-07-31 |
| 1467004135 | Evelyn Ramelb | Nursing Home Administrator | 16-1508 35th Ave, Keaau, HI 96749 | 2019-07-12 |
| 1326690157 | Samuel Robert Teare IIi | Behavior Technician | 16-359 Kehaulani St, Keaau, HI 96749 | 2019-07-11 |
| 1942869599 | Tisha Takazawa | Community Health Worker | 16-204 Melekahiwa Place, Suite 3, Keaau, HI 96749 | 2019-06-07 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
| 1598272536 | Alexander Stitt | Counselor | 15-1963 4th Ave., Keaau, HI 96749 | 2017-12-29 |
| 1164937223 | Rachael Lorraine Hasner | Registered Nurse | 15-1488 Lokelani Ave, Keaau, HI 96749 | 2017-12-11 |
| Find all providers in zip 96749 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1801430707 | Alan Nagakura | Pharmacy | 667 Kanoelehua Ave, Hilo, HI 96720-4592 | 2019-11-04 |
| 1437689957 | Kalihi-palama Health Center | Pharmacy | 710 N King St, Honolulu, HI 96817-5769 | 2017-06-18 |
| 1114132776 | Straub Clinic & Hospital (lanai Clinic Pharmacy) | Pharmacy | 628 B Seventh St, Lanai City, HI 96763 | 2007-05-14 |
| 1033230420 | Kaiser Foundation Health Plan Inc | Pharmacy | 95 660 Lanikuhani Ave, Mililani, HI 96789 | 2007-04-03 |
| 1740322478 | Kaiser Foundation Health Plan Inc | Pharmacy | 75 184 Hualalia Rd, Kailua-kona, HI 96740 | 2007-02-12 |
| 1114068574 | Kaiser Foundation Health Plan Inc | Pharmacy | 94 1480 Moaniani St, Waipahu, HI 96797 | 2007-02-09 |
| 1366583718 | Kaiser Foundation Health Plan Inc | Pharmacy | 201 Hamakua Dr Bldg B, Kailua, HI 96734-3984 | 2007-02-09 |
| 1780639724 | Kaiser Foundation Health Plan Inc | Pharmacy | 2828 Pa A St, Ste 2400, Honolulu, HI 96819 | 2006-05-24 |
| 1134773344 | Waimanalo Health Center | Pharmacy | 41-1295 Kalanianaole Hwy, Waimanalo, HI 96795 | 2019-07-25 |
| 1215411533 | Pacific Pharmacy Solutions LLC | Pharmacy | 95 Mahalani St Rm 10, Wailuku, HI 96793-2521 | 2018-09-21 |
| 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.