Malama I Ke Ola Health Center

LBN: Community Clinic Of Maui, Inc.
Malama I Ke Ola Health Center is an health care organization with primary practice located at 1881 Nani Street , Wailuku HI 96793. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Community Clinic Of Maui, Inc. can be contacted via phone (808) 871-7772, or through Ott, Betty Jane via phone (808) 872-4018.

Contact Information

Primary practice address
1881 Nani Street Wailuku HI 96793
Fax: (808) 872-4029
Website:
Authorized official contact:
Name: Ott, Betty Jane

Profile Details

NPI number 1528042561
LBN Legal business name Community Clinic Of Maui, Inc.
DBA Doing business as Malama I Ke Ola Health Center
Authorized official Ott, Betty Jane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528042561 NPPES
Hawaii MEDICAID 071290-01

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