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CH09099Q 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
The Comp at Tamura Super Market
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031716
340B ID
CH09099Q
Grant Number
H80CS00807
Additional Details
Current Program Status
Active
Registration Date
1/11/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/14/2021
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
86-032 Farrington Hwy Ste 101
Waianae, HI 96792-3099
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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