BAY CLINIC INC (NPI# 1487602918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487602918 |
| Entity Type | Organization |
| Organization Name | BAY CLINIC INC |
| Other Organization Name | KA'U FAMILY HEALTH AND DENTAL CENTER |
| Practice Address |
95-5583 Mamalahoa Hwy Na'alehu HI 96772-0070 |
| Mailing Address |
450 Kilauea Ave Ste 105 Hilo HI 96720-3089 |
| Practice Telephone | 8089297311 |
| Practice Fax Number | 8089615678 |
| Mailing Telephone | 8089614071 |
| Mailing Fax Number | 8089615678 |
| Enumeration Date | 2006-05-05 |
| 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 |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 592502 | 05 |
| Other Name | Type Code |
|---|---|
| Ka'u Family Health and Dental Center | 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 |
| 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 |
95-5583 MAMALAHOA HWY |
| City | NA'ALEHU |
| State | HI |
| Zip Code | 96772-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588415 | Tara Compehos | Massage Therapist | 94-2166 South Point Rd., Naalehu, HI 96772 | 2020-08-14 |
| 1548816317 | Wendy Mckoy | Registered Nurse | 94-6333 Palaoa Rd, Naalehu, HI 96772 | 2019-08-16 |
| 1386072668 | Karrah Lee | Counselor | 95-1215 Ohai Road, Naalehu, HI 96772 | 2013-10-23 |
| 1154609543 | Noa Caiserman | Massage Therapist | 95-5649 Mamalahoa Hwy, Noas Island Massage, Na'alehu, HI 96772 | 2011-08-02 |
| 1801026265 | Arthur Frederick Kennedy | Chiropractor | Po Box 1038, Naalehu, HI 96772 | 2009-07-20 |
| 1427229616 | Barbara Hughes | Nurse Practitioner | 219b Ka'alaiki Rd, Naalehu, HI 96772 | 2008-03-17 |
| 1841475985 | Stephen Scott Montany | Chiropractor | 23 Haao Springs Rd., Naalehu, HI 96772 | 2008-01-08 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1508872391 | Kevin Emil Stuef | Dentist | 671 Kaalaiki Road, Naalehu, HI 96772 | 2006-07-31 |
| 1063670933 | Richard Creagan | General Practice | 946539 Mamalahoa Hwy, Naalehu, HI 96772-0189 | 2008-05-28 |
| Find all providers in zip 96772 | ||||
| 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 |
| 1053955120 | Bay Clinic Inc | Clinic/Center | 450 Kilauea Ave Ste 105, Hilo, HI 96720-3089 | 2019-11-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BAY CLINIC INC.
| 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.