NPIMap

Organization Active NPI

The Queen'S Medical Center

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1609498682
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THE QUEEN'S MEDICAL CENTER
Practice address
1215 Hunakai St
Honolulu, HI 96816-4661
Phone
(808) 686-4200
Fax
(808) 735-7003
NPI assigned
May 12, 2020
Organization subpart
Yes
Parent organization
THE QUEEN'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 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) 691-7744

Specialties & licenses 1

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

Addresses

Primary practice location

1215 Hunakai St
Honolulu, HI 96816-4661

Mailing address

PO Box 29640
Honolulu, HI 96820-2040
Phone (808) 691-5027

Other names 1

  • THE 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.

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
12D2187665Queen'S Health Care Centers1215 Hunakai Street 2ND Floor, Honolulu, HI 96816Provider-performed microscopyApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Patrick C Murray20 organizations share this tax ID, including this one
Part of
Patrick C Murray

Other organizations with this tax ID 19

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

View all 19

Locations

1301 Punchbowl St
#204
Honolulu, HI 96813

Practitioners & affiliated clinicians

Practitioners 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1609498682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29640",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202040",
            "telephone_number": "808-691-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HUNAKAI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164661",
            "telephone_number": "808-686-4200",
            "fax_number": "808-735-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUEEN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE QUEEN'S MEDICAL CENTER",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "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": "808-691-7744"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE 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 Sep 15, 2020; 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.