COMMUNITY CLINIC OF MAUI, INC.


Address: 1881 Nani St, Wailuku, HI 96793-1811
Phone: 8088717772

COMMUNITY CLINIC OF MAUI, INC. (NPI# 1437758190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437758190
Entity Type Organization
Organization Name COMMUNITY CLINIC OF MAUI, INC.
Practice Address 1881 Nani St
Wailuku
HI 96793-1811
Practice Telephone 8088717772
Mailing Telephone 8088717772
Enumeration Date 2020-10-22
Last Update Date 2020-10-22
Authorized Official Name BETTY JANE OTT (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8088724018
Is Organization Subpart Y
Parent Organization Name COMMUNITY CLINIC OF MAUI, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Malama I Ke Ola Health Center Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
15 Ipu Aumakua Ln, Lahaina, HI 967611193 8086677598
670 Waiale Rd Apt A, Wailuku, HI 967932376 8082440220

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225281793 Community Clinic of Maui, Inc. Clinic/Center 670 Waiale Rd, Wailuku, HI 96793 2008-10-28
1528042561 Community Clinic of Maui, Inc. Clinic/Center 1881 Nani Street, Wailuku, HI 96793 2005-12-02
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

Office Location

Street Address 1881 NANI ST
City WAILUKU
State HI
Zip Code 96793-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437136769 Emilie Sumida Dentist 1881 Nani St, Wailuku, HI 96793-1811 2005-12-28
1952925125 Joseph Irvin Wright Jr. Student in an Organized Health Care Education/Training Program 1881 Nani St, Wailuku, HI 96793-1811 2020-06-03
1689202160 Jason Lee Student in an Organized Health Care Education/Training Program 1881 Nani St, Wailuku, HI 96793-1811 2020-03-30
1063973949 Jose Luis Villa Jr. Student in an Organized Health Care Education/Training Program 1881 Nani St, Wailuku, HI 96793-1811 2019-03-25
1013403377 Community Clinic of Maui, Inc. Pharmacy 1881 Nani St, Wailuku, HI 96793-1811 2018-07-10
1780176784 David Kirsch Student in an Organized Health Care Education/Training Program 1881 Nani St, Wailuku, HI 96793-1811 2018-06-05
1104317122 Renee Sattler Dietitian, Registered 1881 Nani St, Wailuku, HI 96793-1811 2018-05-24
1740720291 Xu Yao Student in an Organized Health Care Education/Training Program 1881 Nani St, Wailuku, HI 96793-1811 2017-03-02
1154872273 Heather Milovina Advanced Practice Midwife 1881 Nani St, Wailuku, HI 96793-1811 2016-10-24
1720453640 Daniel Nead Psychologist 1881 Nani St, Wailuku, HI 96793-1811 2015-12-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528042561 Community Clinic of Maui, Inc. Clinic/Center 1881 Nani Street, Wailuku, HI 96793 2005-12-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457916066 Hawaii Health Systems Corporation Clinic/Center 2829 Ala Kalani Kaumaka St # B-201, Koloa, HI 96756-8571 2019-05-08
1639327869 Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. Clinic/Center 1401 S Beretania St Ste 250, Honolulu, HI 96814 2008-08-29
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
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
1063954634 Mango Foundation, Inc. Clinic/Center 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743-8441 2016-11-14
1780067132 Injury Care Center Clinic/Center 31 S Beretania St, Honolulu, HI 96813-2220 2015-07-02
1811307093 Asentra Marketing Clinic/Center 4725 Bougainville Dr, Honolulu, HI 96818-3179 2014-04-28
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Competitor

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City WAILUKU
Zip Code 96793

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Dataset Information

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.

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