| Community Clinic Of Maui, Inc. | |
|
660 Lono Ave Kahului HI 96732-2530 | |
| (808) 727-4000 | |
| Not Available |
| Full Name | Community Clinic Of Maui, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 660 Lono Ave, Kahului, Hawaii |
| Authorized Official Name and Position | John R Vaz (CEO) |
| Authorized Official Contact | 8088717772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic Of Maui, Inc. 1881 Nani St Wailuku HI 96793-1811 Ph: (808) 871-7772 | Community Clinic Of Maui, Inc. 660 Lono Ave Kahului HI 96732-2530 Ph: (808) 727-4000 |
| NPI Number | 1467346916 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467346916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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