NPIMap

Organization Active NPI

Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
National Provider Identifier
1629167754
Registry record updated Jul 21, 2022
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 Street
Wailuku, HI 96793
Phone
(808) 270-4236
Fax
(808) 242-2644
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Wesley Lo
Title
Chief 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 Street
Wailuku, HI 96793

Mailing address

221 Mahalani Street
Wailuku, HI 96793
Phone (808) 270-4236

Other identifiers 15

IdentifierTypeStateIssuer
B005187OtherHIICF R/B WAITLIST
E005180OtherHIOUTPATIENT ANGIO
E005180OtherHIHMSA OUTPATIENT SURGERY
H005184OtherHIOUTPATIENT
E005180OtherHIOUTPATIENT ENDO HMSA
00005796MedicaidHI
A005189OtherHIQUEST INPATIENT
A005189OtherHIHMSA 65C
A005189OtherHIINPATIENT
G005186OtherHISNF FACILITY
P005186OtherHIQUEST ICF ANCIL WAITLIST
H005184OtherHIOUTPATIENT- ASC HMSA
O005181OtherHISNF R/B WAITLIST
C005185OtherHISNF ANCIL WAITLIST
H005184OtherHIQUEST OUTPATIENT

National Provider Directory

National Provider Directory
Tax ID family
Maui Health System a Kaiser9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

210 Imi Kala St
Ste 209
Wailuku, HI 96793
Phone (808) 242-9912

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629167754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI STREET",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-270-4236",
            "fax_number": "808-242-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI STREET",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-270-4236",
            "fax_number": "808-242-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHIEF 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": "ICF R/B WAITLIST",
            "identifier": "B005187",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT ANGIO",
            "identifier": "E005180",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA OUTPATIENT SURGERY",
            "identifier": "E005180",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT",
            "identifier": "H005184",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT ENDO HMSA",
            "identifier": "E005180",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00005796",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST INPATIENT",
            "identifier": "A005189",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C",
            "identifier": "A005189",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT",
            "identifier": "A005189",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF FACILITY",
            "identifier": "G005186",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST ICF ANCIL WAITLIST",
            "identifier": "P005186",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT- ASC HMSA",
            "identifier": "H005184",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF R/B WAITLIST",
            "identifier": "O005181",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF ANCIL WAITLIST",
            "identifier": "C005185",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST OUTPATIENT",
            "identifier": "H005184",
            "state": "HI"
        }
    ],
    "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 Jul 21, 2022; 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.