NPIMap

Organization Active NPI

Queen'S Development Corporation & Subsidiaries

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1164949558
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
W20371466-01 Issued in HI
Legal business name
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Practice address
1380 Lusitana St Ste 804
Honolulu, HI 96813-2444
Phone
(808) 691-4600
Fax
(808) 691-4559
NPI assigned
Aug 25, 2017
Organization subpart
Yes
Parent organization
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Authorized official

Name
Bernadette Merlino
Title
Vice President
Phone
(808) 691-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X W20371466-01 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 804
Honolulu, HI 96813-2444

Mailing address

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-4600

Other names 1

  • Queen's Health Care Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000445 HI Part B Supplier - Clinic/Group Practice 7810912292 Receives reassigned benefits from 26 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haleiwa, HI; Honolulu, HI; Kapolei, HI; Mililani, HI

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Queen'S Development Corporation and Subsidiaries17 organizations share this tax ID, including this one
Part of
Queen'S Development Corporation and Subsidiaries

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1164949558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "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": "1380 LUSITANA ST STE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132444",
            "telephone_number": "808-691-4600",
            "fax_number": "808-691-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-691-4600"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "HI",
            "license": "W20371466-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's Health Care Centers",
            "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 Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.