NPIMap

Organization Active NPI

Queen's Development Corporation

Doing business as The Queen's Health Care Centers

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1720340391
Registry record updated Jun 12, 2012
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
Doing business as
The Queen's Health Care Centers
Practice address
550 S Beretania St
401
Honolulu, HI 96813-2414
Phone
(808) 691-7744
Fax
(808) 691-7745
NPI assigned
Jun 11, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mr. Mark H. Yamakawa
Title
President
Phone
(808) 691-4600

Specialties & licenses 1

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

Addresses

Primary practice location

550 S Beretania St
401
Honolulu, HI 96813-2414

Mailing address

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

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
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.

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
12D2066713Queen's Health Care Centers-Pob3-401550 S Beretania Street Suite 401, Honolulu, HI 96813Provider-performed microscopyApr 21, 2028
12D2232174Queen's Health Care Centers550 S Beretania Street, Suite 300, Honolulu, HI 96813Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Queens Development Corp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1720340391",
    "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": "550 S BERETANIA ST",
            "address_2": "401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-691-7744",
            "fax_number": "808-691-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "YAMAKAWA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-691-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "HI",
            "license": "W20371466-01",
            "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 Jun 12, 2012; 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.