| Community Clinic Of Maui, Inc. | |
|
1881 Nani St Wailuku HI 96793-1811 | |
| (808) 871-7772 | |
| Not Available |
| Full Name | Community Clinic Of Maui, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1881 Nani St, Wailuku, Hawaii |
| Authorized Official Name and Position | Betty Jane Ott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8088724018 |
| 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. 1881 Nani St Wailuku HI 96793-1811 Ph: (808) 871-7772 |
| NPI Number | 1437758190 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437758190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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