NPIMap

Organization Active NPI

Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
National Provider Identifier
1053710889
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
OHCA 3-H Issued in HI
Legal business name
MAUI MEMORIAL MEDICAL CENTER
Practice address
221 Mahalani St
Wailuku, HI 96793-2526
Phone
(808) 243-3030
Fax
(808) 442-5652
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HAWAII HEALTH SYSTEMS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wesley Lo
Title
Cheif Executive Officer
Phone
(808) 442-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X OHCA 3-H HI Primary

Addresses

Primary practice location

221 Mahalani St
Wailuku, HI 96793-2526

Mailing address

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 243-3030

Other identifiers 8

IdentifierTypeStateIssuer
P005186OtherQUEST ICF ANCIL WAITLIST
120002OtherMEDICARE ID - TYPE UNSPECIFIED
A005189OtherQUEST INPATIENT
G005186OtherSNF FACILITY
00005796MedicaidHI
H005187OtherOUTPATIENT
C005185OtherSNF ANCIL WAITLIST
E005180OtherOUTPATIENT OTHER

National Provider Directory

National Provider Directory
Tax ID family
Maui Memorial Medical Center7 organizations share this tax ID, including this one
Part of
Hawaii Health Systems Corporation

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1053710889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-243-3030",
            "fax_number": "808-442-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-243-3030",
            "fax_number": "808-442-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAWAII HEALTH SYSTEMS CORPORATION",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-442-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "OHCA 3-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST ICF ANCIL WAITLIST",
            "identifier": "P005186",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "120002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST INPATIENT",
            "identifier": "A005189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF FACILITY",
            "identifier": "G005186",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00005796",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT",
            "identifier": "H005187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF ANCIL WAITLIST",
            "identifier": "C005185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT OTHER",
            "identifier": "E005180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.