# MALAMA MOLOKAI HEALTH, LTD

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

## Provider details

- **NPI number:** 1972230530
- **Authorized official:** GENEVIEVE F CORREA DPT (OWNER)
- **Authorized official phone:** (808) 650-2339

## Contact information

- **Practice address:** 107B ALA MALAMA ST, KAUNAKAKAI, HI 96748
- **Practice address phone:** (808) 553-4368
- **Mailing address:** PO BOX 398, KAUNAKAKAI, HI 96748-0398
- **Mailing address phone:** (808) 553-4638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2022
- **Last updated:** 08/04/2022