QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES NPI 1164626479

NPI Information

NPI: 1164626479
Provider Name: QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES

Doing Business As: QUEEN'S HEALTHCARE CENTERS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
377 KEAHOLE ST
HONOLULU, HI
ZIP 96825
Phone: (808) 396-6675
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QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES is a health service clinic center in Honolulu, HI. QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES NPI is 1164626479. The provider is registered as an organization entity type.
The provider Is Doing Business As Queen's Healthcare Centers.

The provider's business location address is:

377 KEAHOLE ST
HONOLULU, HI
ZIP 96825-405
Phone: (808) 396-6675
Fax: (808) 395-2104

The provider's authorized official is Leila Shar .
The authorized official title is Cfo and has the following contact phone number (808) 535-8737.

The CLIA number assigned to this NPI record is 12D0621365 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H103153	MEDICARE PIN	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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