| Aloha Clinic | |
|
180 Dickenson St Suite 103 Lahaina HI 96761-1215 | |
| (808) 662-5642 | |
| (808) 662-5642 |
| Full Name | Aloha Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 180 Dickenson St, Lahaina, Hawaii |
| Authorized Official Name and Position | Douglas John Schusser (GENERAL MANAGER) |
| Authorized Official Contact | 8086625642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Clinic 180 Dickenson St Suite 103 Lahaina HI 96761-1215 Ph: (808) 662-5642 | Aloha Clinic 180 Dickenson St Suite 103 Lahaina HI 96761-1215 Ph: (808) 662-5642 |
| NPI Number | 1164595229 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164595229 | NPI | - | NPPES |
| 191746I1 | Other | HI | SUMMERLIN |
| 52799701 | Medicaid | HI | |
| 191746I1 | Other | HI | HMA |
| C063705 | Other | HI | HMSA PIN |
| 05530701 | Medicaid | HI | |
| 062570275 | Other | HI | ALOHACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD6743 (Hawaii) | Primary |
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