NPIMap

Organization Active NPI

The Queen's Medical Center

Doing business as Queen's Health Care Centers

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1366065591
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE QUEEN'S MEDICAL CENTER
Doing business as
Queen's Health Care Centers
Practice address
1401 S Beretania St Ste 350
Honolulu, HI 96814-1871
Phone
(808) 941-2244
Fax
(808) 955-6605
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE QUEEN'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Adrienne J Price
Title
Credentialing
Phone
(808) 691-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1401 S Beretania St Ste 350
Honolulu, HI 96814-1871

Mailing address

1301 Punchbowl St # 204
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
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.

National Provider Directory

National Provider Directory
Tax ID family
Queens Phys Off BLDG II20 organizations share this tax ID, including this one
Part of
Queens Phys Off BLDG II

Other organizations with this tax ID 19

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

View all 19

Locations

1401 S Beretania St
Ste 350
Honolulu, HI 96814
Phone (808) 691-8505

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1366065591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST # 204",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-691-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 350",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141871",
            "telephone_number": "808-941-2244",
            "fax_number": "808-955-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUEEN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE QUEEN'S MEDICAL CENTER",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "808-691-4600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 May 21, 2020; 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.