NPIMap

Organization Active NPI

Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
National Provider Identifier
1609275262
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MAUI MEMORIAL MEDICAL CENTER
Practice address
85 Maui Lani Parkway
Wailuku, HI 96793
Phone
(808) 442-5700
Fax
(808) 442-5652
NPI assigned
Aug 20, 2014
Organization subpart
Yes
Parent organization
HAWAII HEALTH SYSTEMS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Wesley Lo
Title
Ceo
Phone
(808) 442-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HI Primary

Addresses

Primary practice location

85 Maui Lani Parkway
Wailuku, HI 96793

Mailing address

221 Mahalani Street
Cottage 18
Wailuku, HI 96793
Phone (808) 243-3030

Other identifiers 1

IdentifierTypeStateIssuer
00005796MedicaidHI

Other names 1

  • Maui Memorial Medical Center Outpatient Clinic Doing business as

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.

Locations

221 Mahalani St
#18
Wailuku, HI 96793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1609275262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI STREET",
            "address_2": "COTTAGE 18",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "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": "85 MAUI LANI PARKWAY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-442-5700",
            "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": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-442-5100"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00005796",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Memorial Medical Center Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.