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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 (CHIEF EXECUTIVE OFFICER)
(808) 871-7772
Entity
Organization

Contact information

Practice address
250 E LIPOA ST, KIHEI, HI 96753-8125
(808) 871-7772
Mailing address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QS1000X
Student Health Clinic/Center

Other

Enumeration date
05/09/2023
Last updated
05/09/2023
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