340B Drug Pricing Program Database
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DSH120001AS THE QUEEN'S MEDICAL CENTER (Active)
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Main Details
Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
The Queen's Medical Center - West Oahu - Pain Management
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120001AS
Medicare Provider Number
120001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/27/2023
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.
Clinical Service Center Bldg, 4th 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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