340B Drug Pricing Program Database
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DSH120001L THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
QUEEN'S IMAGING POB WEST
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001L
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
91-2139 FORT WEAVER RD STE. 108
EWA BEACH, HI 96706
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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