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QUEENS UNIVERSITY MEDICAL GROUP NPI 1891441382


NPI Information

NPI: 1891441382
Provider Name: QUEENS UNIVERSITY MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 12D2285066

Address:
1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813
Phone: (808) 691-1000
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QUEENS UNIVERSITY MEDICAL GROUP is a multi-specialty clinic center in Honolulu, HI. QUEENS UNIVERSITY MEDICAL GROUP NPI is 1891441382. The provider is registered as an organization entity type.

The provider's business location address is:

1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813-402
Phone: (808) 691-1000
Fax: (808) 691-4646

The provider's authorized official is Traci K Kobayashi .
The authorized official title is Treasurer and has the following contact phone number (808) 691-7795.

The CLIA number assigned to this NPI record is 12D2285066 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 4/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareNo
2282N00000XGeneral Acute Care HospitalNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.