THE MAKANA NORTH SHORE CLINIC NPI 1114431632

NPI Information

  • NPI: 1114431632
  • Provider Name: THE MAKANA NORTH SHORE CLINIC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: MAKANA NORTH SHORE URGENT CARE
  • CLIA Number: 12D2209641
  • Address: 4488 HANALEI PLANTATION RD
    PRINCEVILLE, HI
    ZIP 96722
  • Phone: (808) 320-7300

Map and Directions

Get Directions

NPI Details

THE MAKANA NORTH SHORE CLINIC is an urgent care clinic center in Princeville, HI. THE MAKANA NORTH SHORE CLINIC NPI is 1114431632. The provider is registered as an organization entity type.
The provider Is Doing Business As Makana North Shore Urgent Care.

The provider's business location address is:

4488 HANALEI PLANTATION RD
PRINCEVILLE, HI
ZIP 96722
Phone: (808) 320-7300
Fax: (808) 320-7303

The provider's authorized official is Edward Kimball .
The authorized official title is Owner and has the following contact phone number (808) 320-7300.

The CLIA number assigned to this NPI record is 12D2209641 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 8/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.