Provider Demographics
NPI:1730846163
Name:MAIKA'I HEALTH CORPORATION
Entity type:Organization
Organization Name:MAIKA'I HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YOULSAU
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-896-2732
Mailing Address - Street 1:670 PONAHAWAI ST STE 206
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:670 PONAHAWAI ST STE 206
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7830
Practice Address - Country:US
Practice Address - Phone:808-333-3420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAIKA'I HEALTH ORGANIZATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy