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Organization

MAUI MEMORIAL MEDICAL CENTER

Active
Parent organization
HAWAII HEALTH SYSTEMS CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAWAII HEALTH SYSTEMS CORPORATION
Authorized official
MR. WESLEY LO (CHEIF EXECUTIVE OFFICER)
(808) 442-5100
Entity
Organization

Contact information

Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 243-3030
(808) 442-5652
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 243-3030
(808) 442-5652

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
120002
MEDICARE ID - TYPE UNSPECIFIED
01
A005189
QUEST INPATIENT
01
C005185
SNF ANCIL WAITLIST
01
E005180
OUTPATIENT OTHER
01
G005186
SNF FACILITY
01
H005187
OUTPATIENT
01
P005186
QUEST ICF ANCIL WAITLIST
Enumeration date
08/18/2014
Last updated
08/18/2014
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