NPI 1063954634

Mango Foundation, INC.

Organisation Multi-Specialty Clinic/Center Kamuela, HI

Practice location

Address: 64-1032 Mamalahoa Hwy Suite 306, Kamuela, HI 96743-8441
Phone: (808) 769-5010

Authorised official

Name: Timothy Duerler
Title: Board of Director
Phone: (808) 351-6836

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Hawaii →

Registry record

NPI: 1063954634
Entity type: Organization
NPI issued: 14 Nov 2016
Record last updated: 14 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.