Organization
COMMUNITY CLINIC OF MAUI, INC.
Active
Parent organization
COMMUNITY CLINIC OF MAUI
Other names
Malama I Ke Ola Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CLINIC OF MAUI
Authorized official
BETTY JANE OTT (CHIEF EXECUTIVE OFFICER)
(808) 872-4018
Entity
Organization
Contact information
Practice address
670 WAIALE RD APT A, WAILUKU, HI 96793-2376
(808) 244-0220
Mailing address
1881 NANI STREET, WAILUKU, HI 96793-1811
(808) 871-7772
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
02/11/2021
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