NPI | 1538943154 |
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Doing Business As | MALAMA I KE OLA HEALTH CENTER - LAHAINA SATELLITE |
Entity Type | Organization |
Authorized Contact | JOHN R VAZ Chief Executive Officer 808-871-7772 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-08-25 |