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CH09099M 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
Ewa - West O`ahu Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021708
340B ID
CH09099M
Grant Number
H80CS00807
Additional Details
Current Program Status
Active
Registration Date
7/9/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/12/2018
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
91-1841 Ft. Weaver Rd.
Ewa Beach, HI 96706
Billing Address
86-260 Farrington Highway
Attention: Accounting Department
Waianae, HI 96792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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