Healthcare Provider Details

I. General information

NPI: 1467854125
Provider Name (Legal Business Name): WINDWARD URGENT CARE SERVICES, L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-001 KAMEHAMEHA HWY STE 107
KANEOHE HI
96744-3720
US

IV. Provider business mailing address

46-001 KAMEHAMEHA HWY STE 107
KANEOHE HI
96744-3720
US

V. Phone/Fax

Practice location:
  • Phone: 808-234-1094
  • Fax:
Mailing address:
  • Phone: 808-234-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberMD6854
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RENE NOELLE MANSANAS
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 808-379-1515