Organization
COMMUNITY CLINIC OF MAUI, INC.
Active
Parent organization
COMMUNITY CLINIC OF MAUI, INC.
Other names
Malama I Ke Ola Health Center - Lahaina Satellite
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CLINIC OF MAUI, INC.
Authorized official
JOHN R VAZ MD (CHIEF EXECUTIVE OFFICER)
(808) 871-7772
Entity
Organization
Contact information
Practice address
1830 HONOAPIILANI HWY, LAHAINA COMPREHENSIVE HEALTH CENTER BUILDING, LAHAINA, HI 96761
(808) 871-7772
(808) 872-4029
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
—
—
Other
Enumeration date
08/23/2023
Last updated
08/25/2023
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