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CH09099C WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED (Active)
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Main Details
Name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED
Subdivision Name
WAIOLA CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000125
340B ID
CH09099C
Grant Number
H80CS00807
Additional Details
Current Program Status
Active
Registration Date
3/3/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/9/2010
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Waianae District Comprehensive Health and Hospital Board, Incorporated
RICHARD BETTINI, President & CEO
(808) 697-3300
Primary Contact
Waianae District Comprehensive Health & Hospital Board, Incorporated
Andrea Baltazar, 340B Program Specialist
(808) 697-3438
Addresses
Street Address
86-120 FARRINGTON HWY
Ste C305A
WAIANAE, HI 96792-3000
Billing Address
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC.
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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