COMMUNITY CLINIC OF MAUI, INC. (NPI# 1689814055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689814055 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC OF MAUI, INC. |
| Other Organization Name | MALAMA I KE OLA HEALTH CENTER |
| Practice Address |
1881 Nani Street Wailuku HI 96793 |
| Mailing Address |
1881 Nani Street Wailuku HI 96793-1811 |
| Practice Telephone | 8088736305 |
| Practice Fax Number | 8088724029 |
| Mailing Telephone | 8088736305 |
| Mailing Fax Number | 8088724029 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | BETTY JANE OTT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8088724018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Malama I Ke Ola Health Center | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
1881 NANI STREET |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528042561 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani Street, Wailuku, HI 96793 | 2005-12-02 |
| 1972066710 | Helen A Barrow | Social Worker | 1881 Nani Street, Wailuku, HI 96793 | 2019-04-09 |
| 1295881332 | Gabrielle A O'sullivan | Family Medicine | 1881 Nani Street, Wailuku, HI 96793 | 2007-01-25 |
| 1417990607 | Irving Brown | Legal Medicine | 1881 Nani Street, Wailuku, HI 96793-1881 | 2006-06-14 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275985111 | Kaiser Permanente | Clinic/Center | 80 Mahalani St, Wailuku, HI 96793-2531 | 2016-07-04 |
| 1295922037 | Paradise Chiropractic, Inc | Clinic/Center | 871 Kolu St, #101, Wailuku, HI 96793-1456 | 2007-09-25 |
| 1760439293 | Michael R. Savona M.d. Inc. | Clinic/Center | 1830 Wells St, Suite 102, Wailuku, HI 96793-2365 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609991 | Orn Total Health Hawaii- Aila Olakino | Clinic/Center | 75-5749 Kalawa St Ste 101, Kailua Kona, HI 96740-1873 | 2020-08-12 |
| 1609486240 | Total Health Connection LLC | Clinic/Center | 15-2579 Keaau Pahoa Rd, Pahoa, HI 96778-6710 | 2020-08-07 |
| 1720697931 | Pacific Vascular Institute-kona | Clinic/Center | 75-184 Hualalai Rd Ste 100-101, Kailua Kona, HI 96740-1719 | 2020-07-24 |
| 1366065591 | The Queen's Medical Center | Clinic/Center | 1401 S Beretania St Ste 350, Honolulu, HI 96814-1871 | 2020-05-21 |
| 1700415387 | Kaimana Integrative Health Inc. | Clinic/Center | 25-246 Pukana La St, Hilo, HI 96720-1381 | 2020-04-05 |
| 1275167348 | Pacific Vascular Institute, LLC | Clinic/Center | 99-115 Aiea Heights Dr Ste 276b, Aiea, HI 96701-3924 | 2020-02-27 |
| 1619500394 | Vitra Eyewear Group LLC | Clinic/Center | 2233 Kalakaua Ave # B111e, Honolulu, HI 96815-5200 | 2020-02-20 |
| 1063079036 | Kos Integrative Health, LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 609, Honolulu, HI 96814-4403 | 2019-05-24 |
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 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.