# THE MAKANA NORTH SHORE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Makana North Shore Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114431632
- **Authorized official:** DR. EDWARD KIMBALL MD (OWNER)
- **Authorized official phone:** (808) 320-7300

## Contact information

- **Practice address:** 4488 HANALEI PLANTATION RD, PRINCEVILLE, HI 96722
- **Practice address phone:** (808) 320-7300
- **Practice address fax:** (808) 320-7303
- **Mailing address:** 1747 E LAIRD AVE, SALT LAKE CITY, UT 84108-1806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 08/31/2024