| NPI | 1811687262 |
|---|---|
| Doing Business As | MALAMA I KE OLA HEALTH CENTER |
| 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) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |