Provider Demographics
NPI:1780896704
Name:CHRISTINA COLLINS LLC
Entity type:Organization
Organization Name:CHRISTINA COLLINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-331-2300
Mailing Address - Street 1:75-5759 KUAKINI HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1726
Mailing Address - Country:US
Mailing Address - Phone:808-331-2300
Mailing Address - Fax:
Practice Address - Street 1:75-5759 KUAKINI HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1726
Practice Address - Country:US
Practice Address - Phone:808-331-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD13205207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI566664-02Medicaid
HIH49115Medicare UPIN
HIH102772Medicare PIN