DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMUMAUI (NPI# 1275886301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275886301 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMUMAUI |
| Practice Address |
210 Imi Kala St Suite 105 Wailuku HI 96793-1274 |
| Mailing Address |
1250 Punchbowl St Room 463 Attn: Phao Honolulu HI 96813-2416 |
| Practice Telephone | 8085876043 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | DR. DAVID FRAY (CHIEF) |
| Authorized Official Telephone | 8085865842 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
210 IMI KALA ST SUITE 105 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557660 | Aloha Cardiology LLC | Internal Medicine | 210 Imi Kala St, Ste 209, Wailuku, HI 96793-1274 | 2006-09-13 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821341959 | Dept. of Health-hawaii-developmental Disabilities Division Cmukauai | Clinic/Center | 3040 Umi St, Lihue, HI 96766-1828 | 2012-10-26 |
| 1285987313 | Dept. of Health-hawaii-developmental Disabilities Division Cmuhawaii | Clinic/Center | 46 Keawe St, Hilo, HI 96720-2459 | 2012-10-26 |
| 1689927758 | Dept. of Health-hawaii-developmental Disabilities Division Cmu5 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-10-25 |
| 1164776829 | Dept. of Health-hawaii-developmental Disabilities Division Cmu8 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1083968747 | Dept. of Health-hawaii-developmental Disabilities Division Cmu7 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1457605149 | Dept. of Health-hawaii-developmental Disabilities Division Cmu6 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-01 |
| 1447504139 | Dept. of Health-hawaii-developmental Disabilities Division Cmu4 | Clinic/Center | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2012-11-01 |
| 1306190301 | Dept. of Health-hawaii-developmental Disabilities Division Cmu1 | Clinic/Center | 3627 Kilauea Ave, Room 411 Ddd-cmu 1, Honolulu, HI 96816-2317 | 2012-10-30 |
| 1255685277 | Dept. of Health-hawaii-developmental Disabilities Division Cmu3 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu3, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1336493352 | Dept. of Health-hawaii-developmental Disabilities Division Cmu2 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu2, Kapolei, HI 96707-2023 | 2012-10-29 |
| Find all providers with the same taxonomy | ||||
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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.