THE QUEENS MEDICAL CENTER (NPI# 1417580275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417580275 |
| Entity Type | Organization |
| Organization Name | THE QUEENS MEDICAL CENTER |
| Practice Address |
91-6390 Kapolei Pkwy Ewa Beach HI 96706 |
| Mailing Address |
449 Kapahulu Ave Ste 104 Honolulu HI 96815-3850 |
| Practice Telephone | 8087350007 |
| Practice Fax Number | 8087350021 |
| Mailing Telephone | 8087350007 |
| Mailing Fax Number | 8087350021 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | JASON CHANG (COO/ EXEC VP) |
| Authorized Official Telephone | 8086917989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| QUEEN'S ISLAND URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227643 | The Queens Medical Center | Clinic/Center | 1215 Hunakai St, Honolulu, HI 96816-4661 | 2020-02-19 |
| 1528691383 | The Queens Medical Center | Clinic/Center | 377 Keahole St Ste E108e109, Honolulu, HI 96825-3405 | 2020-02-19 |
| 1033753025 | The Queens Medical Center | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2019-11-01 |
| 1235773219 | The Queens Medical Center | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2019-11-01 |
| 1912541905 | The Queens Medical Center | Clinic/Center | 98-199 Kamehameha Hwy, Suite F, Aiea, HI 96701 | 2019-11-01 |
| Street Address |
91-6390 KAPOLEI PKWY |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215370663 | Darcie Marie Takemoto | Pediatrics | 91-6390 Kapolei Pkwy, Ste 200, Ewa Beach, HI 96706 | 2013-04-15 |
| 1164054763 | Primary Care Physician Enterprise LLC | Clinic/Center | 91-6390 Kapolei Pkwy, Ewa Beach, HI 96706 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227643 | The Queens Medical Center | Clinic/Center | 1215 Hunakai St, Honolulu, HI 96816-4661 | 2020-02-19 |
| 1528691383 | The Queens Medical Center | Clinic/Center | 377 Keahole St Ste E108e109, Honolulu, HI 96825-3405 | 2020-02-19 |
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1538534995 | University Urgent Care | Clinic/Center | 1321 Opua St, Honolulu, HI 96818-1932 | 2015-12-09 |
| 1821467796 | Poipu Md, LLC | Clinic/Center | 5485 Koloa Rd, Suite 1652, Koloa, HI 96756-3001 | 2015-09-21 |
| 1467854125 | Windward Urgent Care Services, L.l.c | Clinic/Center | 45 1141 Kamehameha Highway, Kaneohe, HI 96744 | 2014-09-24 |
| 1164831343 | Mary Savio Healthcare Services Inc | Clinic/Center | 98-1247 Kaahumanu St Ste 315, Aiea, HI 96701-5301 | 2014-08-12 |
| 1760724447 | Saba Kam | Clinic/Center | 1288 Kapiolani Blvd Apt 1508, Honolulu, HI 96814-2868 | 2013-03-20 |
| 1639341886 | Physician Providers, Inc. | Clinic/Center | 1777 Ala Moana Blvd, Lobby Level - Ilikai Hotel, Honolulu, HI 96815-1603 | 2008-03-27 |
| 1972718013 | Urgent Care Clinic of Waikiki, LLC | Clinic/Center | 2155 Kalakaua Ave Ste 308, Honolulu, HI 96815-2354 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.