COMMUNITY CLINIC OF MAUI, INC.
NPI 1437758190
Clinic/Center - Multi-Specialty in Wailuku, HI
NPI Status: Active since October 22, 2020
Contact Information
1881 NANI ST
WAILUKU, HI
ZIP 96793
Phone: (808) 871-7772
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 12D0874244
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-04-2027
About COMMUNITY CLINIC OF MAUI, INC.
This page provides the complete NPI Profile along with additional information for Community Clinic Of Maui, Inc., a provider established in Wailuku, Hawaii operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1437758190 assigned on October 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Betty Jane Ott (Chief Executive Officer)
- NPI
- 1437758190
- Provider Name
- COMMUNITY CLINIC OF MAUI, INC.
- Entity Type
- Organization
- Location Address
- 1881 NANI ST WAILUKU, HI 96793
- Location Phone
- (808) 871-7772
- Mailing Address
- 1881 NANI ST WAILUKU, HI 96793
- Mailing Phone
- (808) 871-7772
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-22-2020
- Last Update Date
- 10-22-2020
- Code Navigator
Location Map
Secondary Locations
- 670 Waiale Rd Apt A
Wailuku, HI 96793
(808) 244-0220 - 15 Ipu Aumakua Ln
Lahaina, HI 96761
(808) 667-7598
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 12D0874244
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 05, 2025
- Certificate Expiration Date
- August 04, 2027
- Laboratory Director
- ANDREW VAN WIEREN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Community Clinic Of Maui, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437758190, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WAILUKU, HI 96793
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437758190, enumerated as an "organization" on October 22, 2020.
The provider is located at 1881 NANI ST WAILUKU, HI 96793 and the phone number is (808) 871-7772.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
