340B Drug Pricing Program Database


DSH120006E CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE (Active) - information as of 5/27/2025 2:43:01 PM

Main Details
CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
ADVENTIST HEALTH CASTLE - Primary Care/Specialty
Disproportionate Share Hospital
Yes
DSH120006E
120006


Additional Details
Active
7/8/2024
10/1/2024
9/12/2024

Contacts

ADVENTIST HEALTH CASTLE
NICK JOHNSON, FINANCE OFFICER
(808) 263-5142

Adventist Health Castle
Joni Freitas, Pharmacy Director
(808) 263-5192

Addresses

40 AULIKE ST
STE 410
KAILUA, HI 96734-2757

CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
640 ULUKAHIKI STREET
KAILUA, HI 96734


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
HI0822681316937691
CA 1316937691
FL 1316937691
WA 1316937691
OR 1316937691
AK 1316937691
CO 1316937691
KY 1316937691
AS 1316937691
MO 1316937691
MT 1316937691
NY 1316937691
NV 1316937691
VA 1316937691
AL 1316937691
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH120006AChildDSHCASTLE MEDICAL CENTERCastle Medical Center OP Clinic642 Ulukahiki Street Suite 103KailuaHITerminated
DSH120006BChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLECASTLE MEDICAL CENTER - Laie RHC55-510 KAMEHAMEHA HWYLAIEHIActive
DSH120006CChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEAHCS ONCOLOGY CLINIC - HEMATOLOGY / ONCOLOGY642 ULUKAHIKI STREET, SUITE 300KAILUAHIActive
DSH120006DChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Ulukahiki 300 - Specialty (Surgery)642 ULUKAHIKI STKAILUAHIActive
DSH120006EChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Primary Care/Specialty40 AULIKE STKAILUAHIActive
DSH120006FChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Kaneohe Specialty - CPC 20246-001 KAMEHAMEHA HWYKANEOHEHIActive
DSH120006GChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Ulukahiki OBGYN642 ULUKAHIKI STKAILUAHIActive
DSH120006HChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Kaneohe Primary Care 40146-001 KAMEHAMEHA HWYKANEOHEHIActive
DSH120006JChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Kaneohe Specialty - CPC 10246-001 KAMEHAMEHA HWYKANEOHEHIActive
DSH120006KChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Ulukahiki Specialty 207 (Neurology)642 ULUKAHIKI STKAILUAHIActive
DSH120006LChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Aulike Psychiatry 21740 AULIKE STKAILUAHIActive
DSH120006MChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Ulukahiki Specialty 103642 ULUKAHIKI STKAILUAHIActive
DSH120006NChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Aulike Primary Care 30030 AULIKE STKAILUAHIActive
DSH120006PChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - CMC Specialty321 N KUAKINI STHONOLULUHIActive
DSH120006QChildDSHCASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLECASTLE MEDICAL CENTER - CMC Primary Care321 N KUAKINI STHONOLULUHIActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate ApprovedActive10/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration JOHNSON, NICK FINANCE OFFICER ADVENTIST HEALTH CASTLE 80826351429/12/2024 3:29 PM
Details340B IDUpdateNew Registration DSH120006E9/12/2024 3:29 PM
DetailsEntity SubnameUpdateNew RegistrationADVENTIST HEALTH CASTLEADVENTIST HEALTH CASTLE - Primary Care/Specialty9/12/2024 3:29 PM
DatesParticipating Approval DateUpdateNew Registration 9/12/2024 3:29:25 PM9/12/2024 3:29 PM
DetailsStateUpdateNew RegistrationPendingApproved9/12/2024 3:29 PM
DatesSigned By DateUpdateNew Registration 7/10/2024 8:05:04 PM9/12/2024 3:29 PM
DatesStart DateUpdateNew Registration 10/1/2024 12:00:00 AM9/12/2024 3:29 PM
AddressesMain AddressInsertNew Registration  40 AULIKE ST STE 410 KAILUA, HI 96734-27577/8/2024 10:27 PM
AddressesBilling AddressInsertNew Registration CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE 640 ULUKAHIKI STREET KAILUA, HI 967347/8/2024 10:27 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/8/2024 10:27 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 0822687/8/2024 10:27 PM
Medicaid BillingMedicaid: StateInsertNew Registration HI7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration HI7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration CA7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration FL7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration WA7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration OR7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration AK7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration CO7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration KY7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration AS7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration MO7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration MT7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration NY7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration NV7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration VA7/8/2024 10:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 13169376917/8/2024 10:27 PM
Medicaid BillingNPI: StateInsertNew Registration AL7/8/2024 10:27 PM
ContactsPrimary ContactInsertNew Registration Freitas, Joni Pharmacy Director Adventist Health Castle 80826351927/8/2024 10:27 PM
ContactsAuthorizing OfficialInsertNew Registration JOHNSON, NICK FINANCE OFFICER ADVENTIST HEALTH CASTLE 80826351427/8/2024 10:27 PM
DetailsAssistance Received From DateInsertNew Registration  7/8/2024 10:27 PM
DetailsAssistance Received To DateInsertNew Registration  7/8/2024 10:27 PM
DetailsLast Recertification DateInsertNew Registration  7/8/2024 10:27 PM
DetailsGrant NumberInsertNew Registration  7/8/2024 10:27 PM
Details340B IDInsertNew Registration  7/8/2024 10:27 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/8/2024 10:27 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/8/2024 10:27 PM
DetailsMedicare Provider NumberInsertNew Registration 1200067/8/2024 10:27 PM
DetailsEntity NameInsertNew Registration CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE7/8/2024 10:27 PM
DetailsNOFO NumberInsertNew Registration  7/8/2024 10:27 PM
DetailsProgram CodeInsertNew Registration DSH7/8/2024 10:27 PM
DetailsEntity SubnameInsertNew Registration ADVENTIST HEALTH CASTLE7/8/2024 10:27 PM
DatesParticipating Approval DateInsertNew Registration  7/8/2024 10:27 PM
DetailsStateInsertNew Registration Pending7/8/2024 10:27 PM
DatesRegistration DateInsertNew Registration 7/8/2024 10:27:01 PM7/8/2024 10:27 PM
DatesSigned By DateInsertNew Registration  7/8/2024 10:27 PM
DatesStart DateInsertNew Registration  7/8/2024 10:27 PM
TerminationsTermination CommentsInsertNew Registration  7/8/2024 10:27 PM
TerminationsTermination DateInsertNew Registration  7/8/2024 10:27 PM
TerminationsTermination Effective DateInsertNew Registration  7/8/2024 10:27 PM
TerminationsTermination ReasonInsertNew Registration  7/8/2024 10:27 PM