MALAMA PONO HEALTH SERVICES NPI 1003274325

NPI Information

  • NPI: 1003274325
  • Provider Name: MALAMA PONO HEALTH SERVICES
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • CLIA Number: 12D1101501
  • Address: 4366 KUKUI GROVE ST
    SUITE 207
    LIHUE, HI
    ZIP 96766
  • Phone: (808) 246-9577

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NPI Details

MALAMA PONO HEALTH SERVICES is a public health or welfare in Lihue, HI. MALAMA PONO HEALTH SERVICES NPI is 1003274325. The provider is registered as an organization entity type.

The provider's business location address is:

4366 KUKUI GROVE ST
SUITE 207
LIHUE, HI
ZIP 96766-006
Phone: (808) 246-9577
Fax: (808) 246-9588

The provider's authorized official is Mistee Bailey-myrick .
The authorized official title is Chief Executive Officer and has the following contact phone number (808) 246-9577.

The CLIA number assigned to this NPI record is 12D1101501 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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