Community Clinic of Maui, Inc.

NPI #1336993724 in Wailuku, Hawaii

Provider Information

NPI Number
1336993724
Entity Type
Organization
Organization Name
Community Clinic of Maui, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY CLINIC OF MAUI, INC.
Primary Specialty
General Acute Care Hospital
Enumeration Date
Apr 12, 2024
Last Updated
Apr 12, 2024

Practice Location

Address
221 MAHALANI ST
State
Hawaii
ZIP Code
96793-2526
Phone
(808) 244-9056

Authorized Official

Name
JOHN R VAZ, MD
Title
CHIEF EXECUTIVE OFFICER
Phone
(808) 871-7772

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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