MAUI MEMORIAL MEDICAL CENTER (NPI# 1609275262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609275262 |
| Entity Type | Organization |
| Organization Name | MAUI MEMORIAL MEDICAL CENTER |
| Other Organization Name | MAUI MEMORIAL MEDICAL CENTER OUTPATIENT CLINIC |
| Practice Address |
85 Maui Lani Parkway Wailuku HI 96793 |
| Mailing Address |
221 Mahalani Street Cottage 18 Wailuku HI 96793 |
| Practice Telephone | 8084425700 |
| Practice Fax Number | 8084425652 |
| Mailing Telephone | 8082433030 |
| Mailing Fax Number | 8084425652 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | WESLEY LO (CEO) |
| Authorized Official Telephone | 8084425100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 00005796 | 05 |
| Other Name | Type Code |
|---|---|
| Maui Memorial Medical Center Outpatient Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053710889 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2526 | 2014-08-18 |
| 1982972493 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2011-12-12 |
| 1962583708 | Maui Memorial Medical Center | Skilled Nursing Facility | 221 Mahalani Street, Wailuku, HI 96793 | 2006-10-18 |
| 1629167754 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2006-10-12 |
| Street Address |
85 MAUI LANI PARKWAY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136087 | Ktamura Md Inc | Internal Medicine | 85 Maui Lani Parkway, Wailuku, HI 96793-2416 | 2019-07-17 |
| 1699206276 | Maui Health System A Kaiser Foundation Hospitals LLC | Specialist | 85 Maui Lani Parkway, Wailuku, HI 96793-2581 | 2017-03-24 |
| 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 |
| 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 |
| 1174957849 | Jon Kealii Inciong | Social Worker | 44 Ponui Cir., Wailuku, HI 96793 | 2013-08-29 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013379460 | Maui Health System A Kaiser Foundation Hospitals LLC | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2581 | 2016-03-24 |
| 1053710889 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2526 | 2014-08-18 |
| 1952650764 | Hawaii Healthcare System Corporation | General Acute Care Hospital | 221 Mahalani St, Wailuku, HI 96793-2526 | 2012-09-07 |
| 1982972493 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2011-12-12 |
| 1396922035 | State of Hawaii Department of Health | General Acute Care Hospital | 121 Mahalani St, Wailuku, HI 96793-2528 | 2008-01-24 |
| 1629167754 | Maui Memorial Medical Center | General Acute Care Hospital | 221 Mahalani Street, Wailuku, HI 96793 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942626650 | Brindy Ramirez Paet | General Acute Care Hospital | 91-1020 Mikohu Street Apt 21a, Ewa Beach, HI 96706 | 2014-03-06 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1922398825 | Kaiser Permanante | General Acute Care Hospital | 1225 15th Ave, Honolulu, HI 96816-3840 | 2011-04-12 |
| 1699973503 | Jonathan Dworkin | General Acute Care Hospital | 1407 Koko Head Ave, Honolulu, HI 96816-3234 | 2007-07-03 |
| 1699868422 | St. Francis Medical Center - West | General Acute Care Hospital | 91-2141 Fort Weaver Road, Ewa Beach, HI 96706 | 2006-10-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1477559029 | North Hawaii Community Hospital,inc | General Acute Care Hospital | 67-1125 Mamalahoa Hwy, Kamuela, HI 96743-8496 | 2005-06-27 |
| 1215939335 | Kuakini Medical Center | General Acute Care Hospital | 347 N Kuakini St, Honolulu, HI 96817-2306 | 2005-06-01 |
| 1336591684 | Sakda Sathirareuangchai | General Acute Care Hospital | 55 S Kukui St, Apt D607, Honolulu, HI 96813-2310 | 2016-07-11 |
| 1811369408 | The Queen's Medical Center | General Acute Care Hospital | 1301 Punchbowl St, Honolulu, HI 96813 | 2015-10-22 |
| 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.