MAUI MEMORIAL MEDICAL CENTER


Address: 221 Mahalani Street, Wailuku, HI 96793
Phone: 8082704236

MAUI MEMORIAL MEDICAL CENTER (NPI# 1629167754) 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) 1629167754
Entity Type Organization
Organization Name MAUI MEMORIAL MEDICAL CENTER
Practice Address 221 Mahalani Street
Wailuku
HI 96793
Practice Telephone 8082704236
Practice Fax Number 8082422644
Mailing Telephone 8082704236
Mailing Fax Number 8082422644
Enumeration Date 2006-10-12
Last Update Date 2012-01-10
Authorized Official Name MR. WESLEY LO (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8084425100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital OHCA 3-H HI Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
HI OUTPATIENT ANGIO E005180 01
HI OUTPATIENT- ASC HMSA H005184 01
HI QUEST OUTPATIENT H005184 01
HI OUTPATIENT H005184 01
HI SNF R/B WAITLIST O005181 01
HI QUEST INPATIENT A005189 01
HI HMSA OUTPATIENT SURGERY E005180 01
HI SNF FACILITY G005186 01
HI HMSA 65C+ A005189 01
HI QUEST ICF ANCIL WAITLIST P005186 01
HI 00005796 05
HI INPATIENT A005189 01
HI ICF R/B WAITLIST B005187 01
HI SNF ANCIL WAITLIST C005185 01
HI OUTPATIENT ENDO HMSA E005180 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609275262 Maui Memorial Medical Center General Acute Care Hospital 85 Maui Lani Parkway, Wailuku, HI 96793 2014-08-20
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

Office Location

Street Address 221 MAHALANI STREET
City WAILUKU
State HI
Zip Code 96793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831197813 Joseph William Chambers Internal Medicine 221 Mahalani Street, Physician Practice Services, Wailuku, HI 96793-2526 2005-07-13
1184141996 Allison Waege Social Worker 221 Mahalani Street, Wailuku, HI 96793 2017-08-23
1982972493 Maui Memorial Medical Center General Acute Care Hospital 221 Mahalani Street, Wailuku, HI 96793 2011-12-12
1992925234 Suzanna Dee Nurse Practitioner 221 Mahalani Street, Wailuku, HI 96793 2007-04-27
1629148713 Jason M Andrus Psychiatry & Neurology 221 Mahalani Street, Wailuku, HI 96793-2526 2006-11-08
1962583708 Maui Memorial Medical Center Skilled Nursing Facility 221 Mahalani Street, Wailuku, HI 96793 2006-10-18
1588764351 Joseph L. Gerry Internal Medicine 221 Mahalani Street, Wailuku, HI 96793-2526 2006-09-22
1417059353 Teresa L Caffiero Physician Assistant 221 Mahalani Street, Wailuku, HI 96793-2526 2006-09-01
1922019611 R Susan Rubenstein Psychologist 221 Mahalani Street, Wailuku, HI 96793-2526 2006-08-10
1629005434 Colin D Lee Internal Medicine 221 Mahalani Street, Wailuku, HI 96793-2526 2006-06-27
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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 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609275262 Maui Memorial Medical Center General Acute Care Hospital 85 Maui Lani Parkway, Wailuku, HI 96793 2014-08-20
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

Providers in the same taxonomy and state

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
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Competitor

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City WAILUKU
Zip Code 96793

Improve Information

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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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