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General NPI Number Information
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NPI Number | 1790858371
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Entity Type | Organization
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Legal Business Name | WINDWARD MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST SUITE 103
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City | KAILUA
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State | HI
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Zip | 96734-2530
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Country | US
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Telephone | 808-261-9700
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Fax | 808-261-9609
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Provider Business Mailing Address
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Address Line | 2324 NUUANU AVE EOMC WMC BUSINESS OFFICE
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City | HONOLULU
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State | HI
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Zip | 96817-1714
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Country | US
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Telephone | 808-536-3222
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Fax | 808-545-3099
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Authorized Official
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Title or Position | BUSINESS MANAGER AND CORPORATE SECR
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Name | MRS. DANA S SEBERG
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Credential |
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Telephone | 808-536-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10852
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD3219
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD3219
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License Number State | HI
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