MANGO FOUNDATION, INC. (NPI# 1063954634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063954634 |
| Entity Type | Organization |
| Organization Name | MANGO FOUNDATION, INC. |
| Practice Address |
64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743-8441 |
| Practice Telephone | 8087695010 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | TIMOTHY DUERLER (BOARD OF DIRECTOR) |
| Authorized Official Telephone | 8083516836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
64-1032 MAMALAHOA HWY SUITE 306 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598777633 | Steven Clyde Kaplan | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-08-13 |
| 1790162378 | Margie S Kaiser | Massage Therapist | 64-1032 Mamalahoa Hwy, Suite 105, Kamuela, HI 96743-8441 | 2015-05-02 |
| 1245617919 | Brianna Rose Marr | Massage Therapist | 64-1032 Mamalahoa Hwy, Suite 105, Kamuela, HI 96743-8441 | 2015-05-01 |
| 1487058418 | Tiare Kaleinani Hartman | Physician Assistant | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743 | 2014-10-20 |
| 1437588969 | Joshua Lessard-chaudoin | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743-8441 | 2013-11-05 |
| 1215299979 | North Hawaii Child Development Program | Early Intervention Provider Agency | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2012-06-08 |
| 1376837997 | Duerler, Inc. | Preventive Medicine | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743 | 2011-05-31 |
| 1619278280 | Meghan Elizabeth Gallagher | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2010-11-12 |
| 1578702007 | Lawrence Derbes Md Inc. | Internal Medicine | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743-8441 | 2009-02-05 |
| 1902054885 | Brett Colin Ferguson | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1346309192 | Rehabprn Services Inc | Clinic/Center | 1221 Kapiolani Blvd Ste 6e, Honolulu, HI 96814-3513 | 2006-12-07 |
| 1649382508 | Na Pu Uwai | Clinic/Center | 604 Maunaloa Highway, Bldg. C, Kaunakakai, HI 96748-0130 | 2006-08-31 |
| 1528042561 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani Street, Wailuku, HI 96793 | 2005-12-02 |
| 1437758190 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani St, Wailuku, HI 96793-1811 | 2020-10-22 |
| 1184245409 | Kauai Veterans Memorial Hospital | Clinic/Center | 2469 Puu Rd Ste C, Kalaheo, HI 96741-8509 | 2020-04-27 |
| 1285107698 | Ali'i Health Center | Clinic/Center | 78-6831 Alii Dr Ste 328, Kailua Kona, HI 96740-4408 | 2019-01-08 |
| 1023593043 | Aloha Integrative Healthcare LLC | Clinic/Center | 1150 S King St Ste 302, Honolulu, HI 96814-1951 | 2018-09-25 |
| 1780067132 | Injury Care Center | Clinic/Center | 31 S Beretania St, Honolulu, HI 96813-2220 | 2015-07-02 |
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| 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.