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Organization

THE QUEENS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM PANKS (EXEC VP/CHIEF FINANCE OFFICER)
(808) 691-5957
Entity
Organization

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813
(808) 538-9011
Mailing address
1301 PUNCHBOWL ST, ATTN: MANAGED CARE CONTRACTING, HONOLULU, HI 96813-2499
(808) 691-5949

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
HI
282N00000X
General Acute Care Hospital
Primary
29-H
HI
323P00000X
Psychiatric Residential Treatment Facility
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020
TRICARE HOSPITAL
HI
01
02469-5
HMSA 65C OP MEDICARE ADV
HI
01
120001
HMSA 65C MEDICARE ADVANT
HI
05
490417-01
HI
01
B4091-1
HMSA OP PHARMACY
HI
01
D4091-7
HMSA QUEST SNF LEVEL R&B
HI
01
H4091-8
HMSA OUTPATIENT
HI
01
K4091-1
HMSA QUEST SNF & ICF ANC
HI
01
N4091
HMSA QUEST DAY TREATMENT
HI
01
N4091-4
HMSA IP HOSPITAL
HI
01
S4091
HMSA DENTAL
HI
01
T2469-9
HMSA QUEST PUCC
HI
01
U4091-7
HMSA ASC
HI
01
Z4091-6
HMSA QUEST ICF LEVEL R&B
HI
Enumeration date
10/07/2005
Last updated
03/17/2025
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