Organization
MAUI MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIOT FREDD (DIRECTOR OF REVENUE)
(808) 242-2017
Entity
Organization
Contact information
Practice address
819 W 7TH AVE, SPOKANE, WA 99204-2808
(509) 344-9924
(509) 456-8811
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2010
(808) 242-2644
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3-H
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579601
—
HI
05
—
1456829
—
LA
Enumeration date
04/12/2007
Last updated
08/22/2020
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