COMMUNITY CLINIC OF MAUI, INC. (NPI# 1225281793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225281793 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC OF MAUI, INC. |
| Other Organization Name | MALAMA I KE OLA HEALTH CENTER |
| Practice Address |
670 Waiale Rd Wailuku HI 96793 |
| Mailing Address |
1881 Nani Street Wailuku HI 96793-1811 |
| Practice Telephone | 8082440220 |
| Mailing Telephone | 8088717772 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | BETTY JANE OTT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8088724018 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CLINIC OF MAUI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Malama I Ke Ola Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013403377 | Community Clinic of Maui, Inc. | Pharmacy | 1881 Nani St, Wailuku, HI 96793-1811 | 2018-07-10 |
| 1689814055 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani Street, Wailuku, HI 96793 | 2009-02-25 |
| Street Address |
670 WAIALE RD |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992106660 | Maui Treatment Centers | Community Based Residential Treatment Facility, Mental Illness | 670 Waiale Rd, Wailuku, HI 96793-2375 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457548596 | David G Seriguchi, Md Inc | Clinic/Center | 1931 E Vineyard St, Suite 102, Wailuku, HI 96793-1700 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301016 | Maika'i Health Corporation | Clinic/Center | 670 Ponahawai St Ste 206, Hilo, HI 96720-7830 | 2020-09-22 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1316317100 | Lanai Community Health Center | Clinic/Center | 333 Sixth Street, Lanai City, HI 96763-0142 | 2015-10-06 |
| 1801020623 | Barbara Ann Kualii | Clinic/Center | 224 Haili St, Bldg B, Hilo, HI 96720-2975 | 2009-05-07 |
| 1659531622 | Kauai Community Health Alliance | Clinic/Center | 2460 Oka St, 101-a, Kilauea, HI 96754-5308 | 2008-06-13 |
| 1780738005 | Waimanalo Health Center | Clinic/Center | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2007-01-23 |
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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.