340B Drug Pricing Program Database
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DSH120022AD STRAUB CLINIC & HOSPITAL (Active)
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Main Details
Name
STRAUB CLINIC & HOSPITAL
Subdivision Name
STRAUB BENIOFF MEDICAL CENTER - Family Medicine Kaneohe
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120022AD
Medicare Provider Number
120022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
Contacts
Authorizing Official
Hawaii Pacific Health
David E Stumbaugh, VP, Supply Chain Management and Pharmacy
(808) 522-6946
Primary Contact
Hawaii Pacific Health
Shiela P Magday, 340B Program Manager
(808) 774-1342
Addresses
Street Address
46-056 KAMEHAMEHA HWY
STE 221
KANEOHE, HI 96744-6706
Billing Address
Straub Clinic & Hospital
55 Merchant St, 24th Floor
Honolulu, HI 96813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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