MALAMA I KE OLA HEALTH CENTER – NPI #1689814055
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MALAMA I KE OLA HEALTH CENTER is an AHC clinic located in WAILUKU, HI. NPPES has assigned the NPI number 1689814055 to MALAMA I KE OLA HEALTH CENTER on February 25, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MALAMA I KE OLA HEALTH CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY CLINIC OF MAUI, INC.. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 2 years ago on Apr 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MALAMA I KE OLA HEALTH CENTER below.

NPI Profile for
COMMUNITY CLINIC OF MAUI, INC.

NPI Number
1689814055
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CLINIC OF MAUI, INC.
Doing Business As (dba): MALAMA I KE OLA HEALTH CENTER
Primary location
1881 NANI STREET
WAILUKU, HI 96793
Phone: (808) 873-6305 Fax: (808) 872-4029
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BETTY OTT
CHIEF EXECUTIVE OFFICER
Phone: (808) 872-4018
Updated
Certification Date
Apr 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.