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CH09099J 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
Waianae Vision Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016815
340B ID
CH09099J
Grant Number
H80CS00807
Additional Details
Current Program Status
Active
Registration Date
1/8/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
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 C301
Waianae, HI 96792
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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