MAKANA O KA OLA HEALTH AND WELLNESS CLINIC
NPI 1750832259
Clinic/Center - Primary Care in Wailuku, HI

Active since October 19, 2016
1935 MAIN ST, SUITE 102, WAILUKU, HI 96793(360) 560-3801 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Makana O Ka Ola Health And Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKANA O KA OLA HEALTH AND WELLNESS CLINIC (NPI 1750832259) is a healthcare organization registered as a primary care in Wailuku, Hawaii and active in the NPI registry since October 2016. The organization lists Stacey Lyn Prusky, Officer, as its authorized official.

NPPES Registry Identity

NPI1750832259
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAKANA O KA OLA HEALTH AND WELLNESS CLINIC
Location Address1935 MAIN ST, SUITE 102Wailuku, HI 96793-1784
Mailing Address1935 Main St, Suite 102Wailuku, HI 96793-1784 · (360) 560-3801
Organization SubpartNo
Authorized OfficialStacey Lyn PruskyOfficer · (360) 560-3801
Enumeration DateOctober 19, 2016
NPI 1750832259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in HI · 119306444801
1935 MAIN ST, Wailuku, HI 96793

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
1935 MAIN ST, SUITE 101
WAILUKU, HI 96793
Nurse Practitioner (Family)
1935 MAIN ST, SUITE 101
WAILUKU, HI 96793
Physician Assistant
1935 MAIN ST, STE 102
WAILUKU, HI 96793
Psychologist
1935 MAIN ST, STE 102
WAILUKU, HI 96793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makana O Ka Ola Health And Wellness Clinic's NPI number?

The NPI number for Makana O Ka Ola Health And Wellness Clinic is 1750832259. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Makana O Ka Ola Health And Wellness Clinic located?

Makana O Ka Ola Health And Wellness Clinic is located at 1935 Main St Suite 102, Wailuku, HI 96793. The listed phone number is (360) 560-3801.

What is Makana O Ka Ola Health And Wellness Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Makana O Ka Ola Health And Wellness Clinic was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.