| NPI | 1619721263 |
|---|---|
| Doing Business As | MALAMA I KE OLA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN R VAZ CEO 808-871-7772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |