Organization
COMMUNITY CLINIC OF MAUI, INC.
Active
Parent organization
COMMUNITY CLINIC OF MAUI, INC.
Other names
Malama I Ke Ola Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CLINIC OF MAUI, INC.
Authorized official
JOHN R VAZ MD (CEO)
(808) 871-7772
Entity
Organization
Contact information
Practice address
660 LONO AVE, KAHULUI, HI 96732-2530
(808) 727-4000
Mailing address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
(808) 872-4029
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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