Healthcare Provider Details

I. General information

NPI: 1891301016
Provider Name (Legal Business Name): MAIKA'I HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 KILAUEA AVE
HILO HI
96720
US

IV. Provider business mailing address

740 KILAUEA AVE
HILO HI
96720-4234
US

V. Phone/Fax

Practice location:
  • Phone: 808-333-3420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YOULSAU BELLS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 808-333-3420