# MALAMA PONO HEALTH SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003274325
- **Authorized official:** MISTEE BAILEY-MYRICK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (808) 246-9577

## Contact information

- **Practice address:** 4366 KUKUI GROVE ST, SUITE 207, LIHUE, HI 96766-2006
- **Practice address phone:** (808) 246-9577
- **Practice address fax:** (808) 246-9588
- **Mailing address:** 4366 KUKUI GROVE ST, SUITE 207, LIHUE, HI 96766-2006
- **Mailing address phone:** (808) 246-9577
- **Mailing address fax:** (808) 246-9588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 02/01/2016