340B Drug Pricing Program Database
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DSH120001D THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
Queen's Colon Cancer Screening
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001D
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/21/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/12/2014
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
550 S. Beretania Street
Suite 701
Honolulu, HI 96813
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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