340B Drug Pricing Program Database
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DSH120001AM THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
QUEEN'S MEDICAL CENTER - The Queen's Medical Center - West Oahu Neuroscience
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001AM
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/17/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/30/2023
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
91-2135 FORT WEAVER RD
CSC 3rd Floor
EWA BEACH, HI 96706
Billing Address
The Queen's Medical Center
1301 Punchbowl St
Honolulu, HI 96813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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