Organization
COMMUNITY CLINIC OF MAUI INC
Active
Other names
Malama I Ke Ola Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY JANE OTT (CHIEF EXECUTIVE OFFICER)
(808) 872-4018
Entity
Organization
Contact information
Practice address
15 IPU AUMAKUA LN, LAHAINA, HI 96761
(808) 667-7598
(808) 667-7492
Mailing address
1881 NANI STREET, WAILUKU, HI 96793-1811
(808) 667-7598
(808) 667-7492
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
04/12/2024
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