Provider Demographics
NPI:1023355617
Name:MALAMA FIRST HEALTHCARE, INC.
Entity type:Organization
Organization Name:MALAMA FIRST HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HEALTHCARE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:QUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-375-0465
Mailing Address - Street 1:41-1300 WAIKUPANAHA ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1171
Mailing Address - Country:US
Mailing Address - Phone:808-375-0465
Mailing Address - Fax:
Practice Address - Street 1:41-1300 WAIKUPANAHA ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1171
Practice Address - Country:US
Practice Address - Phone:808-375-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural