Organization
THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA YOSHIOKA (EXECUTIVE VICE PRESIDENT & CAO)
(808) 537-7996
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020
TRICARE SNF
HI
01
—
125037
HMSA 65C SNF
HI
01
—
B2469-1
HMSA SNF
HI
01
—
L4091-0
HMSA QUEST PCU/SNF ANC
HI
01
—
M4091-7
HMSA QUEST PCU/SNF R&B
HI
Enumeration date
10/10/2005
Last updated
07/21/2022
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