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RWII96766 Malama Pono Health Services (Active)
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Main Details
Name
Malama Pono Health Services
Subdivision Name
Type
Ryan White Part B
340B ID
RWII96766
Grant Number
X07HA00050
Additional Details
Current Program Status
Active
Registration Date
5/14/2024
Participating Start Date
5/15/2024
Participating Approval Date
5/15/2024
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
4/1/2017 - 3/31/2025
Contacts
Authorizing Official
MALAMA PONO HEALTH SERVICES
Melanie Rule, CEO
(808) 246-9577
Primary Contact
Malama Pono Health Services
Melisse Camelo, Director of Clinical Services
(808) 246-9577
Addresses
Street Address
4370 Kukui Grove Street
Suite 115
Lihue, HI 96766
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (01/01/2017) until terminated effective date: (04/01/2024); reinstatement effective date: (07/1/2024)
05/15/2024
April 2025
April 2025
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