340B Drug Pricing Program Database
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DSH120001A THE QUEEN'S MEDICAL CENTER (Terminated)
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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
DSH120001A
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/29/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
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
The Queen's Medical Center
1301 Punchbowl Street
Honolulu, HI 96813
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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