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DSH120001 THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001
Medicare Provider Number
120001
Additional Details
Current Program Status
Active
Registration Date
4/22/2008
Participating Start Date
7/1/2002
Participating Approval Date
4/22/2008
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
The Queen's Health Systems
Darlena Chadwick, Executive Vice President and Chief Operating Officer
(808) 691-3607
Primary Contact
The Queen's Health Systems
Eric King, Director, 340B Program
(808) 691-5323
Addresses
Street Address
1301 PUNCHBOWL STREET
HONOLULU, HI 96813-2499
Billing Address
THE QUEEN'S MEDICAL CENTER
ACCOUNTS PAYABLE
P.O. BOX 4010
HONOLULU, HI 96812-4010
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/24/08-ADDED BILLING AND SHIPPING ADDRESS
04/22/2008
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