NPIMap

Organization Active NPI

The Queens Medical Center

Doing business as Queen's Island Urgent Care

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1033753025
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
THE QUEENS MEDICAL CENTER
Doing business as
Queen's Island Urgent Care
Practice address
449 Kapahulu Avenue
Suite 104
Honolulu, HI 96815
Phone
(808) 735-0007
NPI assigned
Nov 1, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
THE QUEENS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clinton Yee
Title
Assistant Treasurer, the Queens Med
Phone
(808) 691-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

449 Kapahulu Avenue
Suite 104
Honolulu, HI 96815

Mailing address

1301 Punchbowl Street
Honolulu, HI 96813
Phone (808) 691-4600

Other names 1

  • Queen's Island Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000366 HI Part B Supplier - Clinic/Group Practice 3476454067 Receives reassigned benefits from 844 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI; Kahului, HI; Kamuela, HI; Kapolei, HI; Lihue, HI; Mililani, HI; Wahiawa, HI; Aiea, HI…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2099837Queen's Island Urgent Care449 Kapahulu Ave Suite 104, Honolulu, HI 96815Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Queen Medical Clinic20 organizations share this tax ID, including this one
Part of
Queen Medical Clinic

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Practitioners & affiliated clinicians

Practitioners 146

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1033753025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-691-4600",
            "fax_number": "808-691-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVENUE",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96815",
            "telephone_number": "808-735-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUEENS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE QUEENS MEDICAL CENTER",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "ASSISTANT TREASURER, THE QUEENS MED",
        "authorized_official_telephone_number": "808-691-4600"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's Island Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.