OrganizationActive
Market Street Clinic, Inc.
NPI 1275798928 · Health Maintenance Organization · Wailuku, HI
Provider details
- NPI number
- 1275798928
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Chris Boulange, President/General Practitioner(808) 244-0007
- License
- MD-2877 (HI)
Specialties & taxonomies
Managed Care Organizations
Practice location
53a N Market St
Wailuku, HI 96793-1719
Phone: (808) 244-0007
Fax: (808) 244-8011
Approximate (ZIP-level) locationGet directions
Mailing address
53a N Market St
Wailuku, HI 96793-1719
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2008-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.