Organization · Type 2 NPI

Community Clinic of Maui, Inc.

Multi-Specialty Clinic/Center · Wailuku, HI

NPI number 1437758190 Active

Practice location

1881 Nani St
Wailuku, HI 96793-1811

Call (808) 871-7772 Map

Other practice locations

15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 · (808) 667-7598
670 Waiale Rd Apt A, Wailuku, HI 96793-2376 · (808) 244-0220

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

42 other providers at this address

NPI record

NPI: 1437758190
Entity type: Organization (Type 2)
Issued: Oct 22, 2020
Last updated: Oct 22, 2020
Status: Active
Subpart: Yes of Community Clinic of Maui, Inc.

Other names

Malama I Ke Ola Health Center · doing business as

Authorized official

Betty Jane Ott
Chief Executive Officer
(808) 872-4018

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437758190

Community Clinic of Maui, Inc.'s National Provider Identifier is 1437758190, issued on Oct 22, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wailuku, HI. The record was last updated on Oct 22, 2020.