340B Drug Pricing Program Database
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DSH120001H THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001H
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/28/2016
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
98-1247 KAAHUMANU ST 208
QUEENS HEART PHYSICIAN PRACTICE
AIEA, HI 96701-5311
Billing Address
The Queen's Medical Center
1301 Punchbowl Street
Honolulu, HI 96813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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