340B Drug Pricing Program Database
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DSH120001C THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
Queen's Ambulatory Behavioral Health Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001C
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
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
Kaheiheimalie Building
1374 Nuuanu Avenue
Honolulu, HI 96817
Billing Address
THE QUEEN'S MEDICAL CENTER
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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