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CH09099N 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
Nanakuli High & Intermediate School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021663
340B ID
CH09099N
Grant Number
H80CS00807
Additional Details
Current Program Status
Active
Registration Date
10/1/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/4/2018
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
89-980 Nanakuli Avenue
Waianae, HI 96792
Billing Address
Waianae Coast Comprehensive Health Center - Nanakuli SBHC
86-260 Farrington Highway
Attn: Accounting Office
Waianae, HI 96792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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