MAKANA NORTH SHORE URGENT CARE – NPI #1114431632
Clinic/Center

MAKANA NORTH SHORE URGENT CARE is an AHC clinic located in PRINCEVILLE, HI. NPPES has assigned the NPI number 1114431632 to MAKANA NORTH SHORE URGENT CARE on November 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAKANA NORTH SHORE URGENT CARE” is a dba name, the actual legal business name for this organization is THE MAKANA NORTH SHORE CLINIC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Aug 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAKANA NORTH SHORE URGENT CARE below.

NPI Profile for
THE MAKANA NORTH SHORE CLINIC

NPI Number
1114431632
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE MAKANA NORTH SHORE CLINIC
Doing Business As (dba): MAKANA NORTH SHORE URGENT CARE
Primary location
4488 HANALEI PLANTATION RD
PRINCEVILLE, HI 96722
Phone: (808) 320-7300 Fax: (808) 320-7303
Mailing address
1747 E LAIRD AVE
SALT LAKE CITY, UT 84108-1806
Phone: Fax:
Organization Subpart
No
Authorized Official
EDWARD KIMBALL
OWNER
Phone: (808) 320-7300
Updated
Certification Date
Aug 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.