Basic Information
| Provider Information | |||||||||
| NPI: | 1184612764 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE QUEEN'S MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 PUNCHBOWL ST | ||||||||
| Address2: | ATTN: MANAGED CARE CONTRACTING | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968132499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086915949 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1301 PUNCHBOWL ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 96813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085389011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | MCDOWELL | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF FINANCE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 8086915957 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | HI | N | Hospital Units | Psychiatric Unit | 323P00000X | HI | N | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | 282N00000X | 29-H | HI | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | U4091-7 | 01 | HI | HMSA QUEST ASC | OTHER | Z4091-6 | 01 | HI | HMSA QUEST ICF LEVEL R&B | OTHER | 490417-01 | 05 | HI | MEDICAID | H4091-8 | 01 | HI | HMSA QUEST OP HOSPITAL | OTHER | H4091-8 | 01 | HI | HMSA OUTPATIENT | OTHER | U4091-7 | 01 | HI | HMSA ASC | OTHER | B4091-1 | 01 | HI | HMSA OP PHARMACY | OTHER | K4091-1 | 01 | HI | HMSA QUEST SNF & ICF ANC | OTHER | S4091 | 01 | HI | HMSA DENTAL | OTHER | N4091-4 | 01 | HI | HMSA IP HOSPITAL | OTHER | 120001 | 01 | HI | HMSA 65C MEDICARE ADVANT | OTHER | D4091-7 | 01 | HI | HMSA QUEST SNF LEVEL R&B | OTHER | H4091-8 | 01 | HI | HMSA DAY TREATMENT | OTHER | N4091-4 | 01 | HI | HMSA QUEST IP HOSPITAL | OTHER | T2469-9 | 01 | HI | HMSA QUEST PUCC | OTHER | 02469-5 | 01 | HI | HMSA 65C OP MEDICARE ADV | OTHER | 0020 | 01 | HI | TRICARE HOSPITAL | OTHER | N4091 | 01 | HI | HMSA QUEST DAY TREATMENT | OTHER |