Organization
MAUI MEMORIAL MEDICAL CENTER
Active
Parent organization
HAWAII HEALTH SYSTEMS CORPORATION
Other names
Maui Memorial Medical Center Outpatient Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII HEALTH SYSTEMS CORPORATION
Authorized official
WESLEY LO (CEO)
(808) 442-5100
Entity
Organization
Contact information
Practice address
85 MAUI LANI PARKWAY, WAILUKU, HI 96793
(808) 442-5700
(808) 442-5652
Mailing address
221 MAHALANI STREET, COTTAGE 18, WAILUKU, HI 96793
(808) 243-3030
(808) 442-5652
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005796
—
HI
Enumeration date
08/20/2014
Last updated
08/20/2014
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