NPI | 1528042561 |
---|---|
Doing Business As | MALAMA I KE OLA HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOHN VAZ Chief Executive Officer 808-872-4018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2024-11-08 |