# LANAI COMMUNITY HEALTH CENTER

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

## Provider details

- **NPI number:** 1316317100
- **Authorized official:** DR. DIANA SHAW PHD, MPH, MBA, FCMPE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (808) 565-6919

## Contact information

- **Practice address:** 333 SIXTH STREET, LANAI CITY, HI 96763-0142
- **Practice address phone:** (808) 565-6919
- **Practice address fax:** (808) 565-9111
- **Mailing address:** 333 SIXTH STREET, PO BOX 630142, LANAI CITY, HI 96763-0142
- **Mailing address phone:** (808) 565-6919
- **Mailing address fax:** (808) 565-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015