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NPI Code Detail

MEDICARE: THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT

MEDICARE: THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility31-NHI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10020OTHERHITRICARE SNF
2B2469-1OTHERHIHMSA SNF
3M4091-7OTHERHIHMSA QUEST PCU/SNF R&B
4125037OTHERHIHMSA 65C SNF
5L4091-0OTHERHIHMSA QUEST PCU/SNF ANC

General Provider Information

NPI Number : 1851389365
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT
Provider Business Mailing Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2402
Country : US
Telephone Number : 808-538-9011
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2402
Country : US
Telephone Number : 808-538-9011
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT & CAO
Name : PAULA YOSHIOKA
Credential :
Telephone Number : 808-537-7996
Provider Enumeration Date : 10/10/2005
Last Update Date : 07/21/2022

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Directions to “THE QUEENS MEDICAL CENTER - PROGRESSIVE CARE UNIT ” Practice Location

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