COMMUNITY CLINIC OF MAUI, INC. – NPI #1538943154
Clinic/Center

COMMUNITY CLINIC OF MAUI, INC. is an AHC clinic located in LAHAINA, HI. NPPES has assigned the NPI number 1538943154 to COMMUNITY CLINIC OF MAUI, INC. on August 23, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Aug 25, 2023. 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 COMMUNITY CLINIC OF MAUI, INC. below.

NPI Profile for
COMMUNITY CLINIC OF MAUI, INC.

NPI Number
1538943154
Enumeration Date

(about 3 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.
Primary location
1830 HONOAPIILANI HWY
LAHAINA COMPREHENSIVE HEALTH CENTER BUILDING
LAHAINA, HI 96761
Phone: (808) 871-7772 Fax: (808) 872-4029
Mailing address
1881 NANI ST
WAILUKU, HI 96793-1811
Phone: (808) 871-7772 Fax: (808) 872-4029
Organization Subpart
Yes - COMMUNITY CLINIC OF MAUI, INC. is subpart of another organization.
Authorized Official
JOHN VAZ
CHIEF EXECUTIVE OFFICER
Phone: (808) 871-7772
Updated
Certification Date
Aug 25, 2023

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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (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.