CASTLE PRIMARY CARE OF KAILUA – NPI #1710336011
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

CASTLE PRIMARY CARE OF KAILUA is an AHC clinic located in KAILUA, HI. NPPES has assigned the NPI number 1710336011 to CASTLE PRIMARY CARE OF KAILUA on June 07, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CASTLE PRIMARY CARE OF KAILUA” is a dba name, the actual legal business name for this organization is CASTLE MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 3 years ago on Apr 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CASTLE PRIMARY CARE OF KAILUA below.

NPI Profile for
CASTLE MEDICAL CENTER

NPI Number
1710336011
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASTLE MEDICAL CENTER
Doing Business As (dba): CASTLE PRIMARY CARE OF KAILUA
Primary location
30 AULIKE ST
SUITE 501
KAILUA, HI 96734-2739
Phone: (808) 263-5015 Fax:
Mailing address
640 ULUKAHIKI ST
KAILUA, HI 96734-4454
Phone: Fax:
Organization Subpart
Yes - CASTLE PRIMARY CARE OF KAILUA is subpart of another organization.
Authorized Official
NICOLAS JOHNSON
CFO
Phone: (808) 263-5142
Updated
Certification Date
Apr 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.