340B Drug Pricing Program Database
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DSH120001P THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
THE QUEENS MEDICAL CENTER / West Emergency Department
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001P
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/24/2017
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
91-2141 FORT WEAVER RD
THE QUEENS MEDICAL CENTER - WEST OAHU
EWA BEACH, HI 96706-1993
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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