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PED123300-00 KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN (Active)
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Main Details
Name
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED123300-00
Medicare Provider Number
123300
Additional Details
Current Program Status
Active
Registration Date
8/6/2010
Participating Start Date
8/6/2010
Participating Approval Date
8/6/2010
Last Recertification Date
8/21/2024
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
1319 PUNAHOU STREET
HONOLULU, HI 96826
Billing Address
Kapiolani Medical Center for Women & Children
55 Merchant Street, 24th Floor
Honolulu, HI 96813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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