# MANUA HEALTH SYSTEM, INC

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

## Provider details

- **NPI number:** 1578807798
- **Authorized official:** DR. MALOUAMAUA PULEISILI TUIOLOSEGA MD,MB,BS,PCP (CHIEF EXECUTIVE OFFICER/CMO)
- **Authorized official phone:** (684) 770-9264

## Contact information

- **Practice address:** 102 LUMA TAI RD, TA'U VILLAGE, MANU'A ISLAND, AS 96799
- **Practice address phone:** (684) 677-3513
- **Practice address fax:** (684) 677-3555
- **Mailing address:** 41-1300 WAIKUPANAHA ST, WAIMANALO, HI 96795
- **Mailing address phone:** (808) 259-6309
- **Mailing address fax:** (808) 440-5606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 3140 | AS | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012