MAUI CANCER CLINIC, INC. – NPI #1558765719
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Health Care Provider Taxonomy Code for Clinic/Center

MAUI CANCER CLINIC, INC. is an AHC clinic located in WAILUKU, HI. NPPES has assigned the NPI number 1558765719 to MAUI CANCER CLINIC, INC. on October 17, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QX0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oncology

The NPI profile was previously updated about 11 years ago on Dec 03, 2015. 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 MAUI CANCER CLINIC, INC. below.

NPI Profile for
MAUI CANCER CLINIC, INC.

NPI Number
1558765719
Enumeration Date

(more than 11 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
MAUI CANCER CLINIC, INC.
Primary location
24 NORTH CHURCH STREET SUITE 308
WAILUKU, HI 96793
Phone: (808) 242-1110 Fax: (855) 839-9759
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAMIN ALTAHA
PRESIDENT
Phone: (808) 280-4858
Updated
Identifiers

Identifiers for MAUI CANCER CLINIC, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDHI68766801
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
261QX0200X
- Clinic/Center / Oncology (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.