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NH5740 KE OLA MAMO (Active)
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Main Details
Name
KE OLA MAMO
Subdivision Name
Type
Native Hawaiian Health Care Program
340B ID
NH5740
Grant Number
H1CCS00016
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/1/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Ke Ola Mamo
Anthony Scott McDonald, Director of Finance
(808) 383-3639
Primary Contact
Ke Ola Mamo
Nicole M Lum, Medical Director
(808) 440-6852
Addresses
Street Address
680 IWILEI ROAD, SUITE 500
HONOLULU, HI 96817
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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NEW SITE 01/01/2005
12/01/2004
April 2025
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