NPIMap

Organization Active NPI

Queen'S Development Corporation and Subsidiaries

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1376010124
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QUEEN'S DEVELOPMENT CORPORATION AND SUBSIDIARIES
Practice address
400 Keawe Street
Suite 100
Honolulu, HI 96813
Phone
(808) 735-0007
NPI assigned
Oct 30, 2018
Organization subpart
Yes
Parent organization
QUEEN'S DEVELOPMENT CORPORATION AND SUBSIDIARIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Bernadette Merlino
Title
President, Queens Development Corpo
Phone
(808) 691-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

400 Keawe Street
Suite 100
Honolulu, HI 96813

Mailing address

1301 Punchbowl Street
Honolulu, HI 96813
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

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1376010124",
    "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": "400 KEAWE STREET",
            "address_2": "SUITE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-735-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEEN'S DEVELOPMENT CORPORATION AND SUBSIDIARIES",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT, QUEENS DEVELOPMENT CORPO",
        "authorized_official_telephone_number": "808-691-4600"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Oct 30, 2018; 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.