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Organization
MAUI MEMORIAL MEDICAL CENTER
Active
Organization
MAUI MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY LO (CHIEF EXECUTIVE OFFICER)
(808) 442-5100
Entity
Organization
Contact information
Practice address
221 MAHALANI STREET, WAILUKU, HI 96793
(808) 270-4236
(808) 242-2644
Mailing address
221 MAHALANI STREET, WAILUKU, HI 96793
(808) 270-4236
(808) 242-2644
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OHCA 3-H
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005796
—
HI
01
—
A005189
QUEST INPATIENT
HI
01
—
B005187
ICF R/B WAITLIST
HI
01
—
C005185
SNF ANCIL WAITLIST
HI
01
—
E005180
OUTPATIENT ANGIO
HI
01
—
G005186
SNF FACILITY
HI
01
—
H005184
OUTPATIENT
HI
01
—
O005181
SNF R/B WAITLIST
HI
01
—
P005186
QUEST ICF ANCIL WAITLIST
HI
Enumeration date
10/12/2006
Last updated
07/21/2022
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