THE QUEENS MEDICAL CENTER
NPI 1417580275
Clinic/Center - Urgent Care in Ewa Beach, HI
NPI Status: Active since February 19, 2020
Contact Information
91-6390 KAPOLEI PKWY
EWA BEACH, HI
ZIP 96706
Phone: (808) 735-0007
Fax: (808) 735-0021
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 12D2075360
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-18-2026
About THE QUEENS MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for The Queens Medical Center, a provider established in Ewa Beach, Hawaii operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1417580275 assigned on February 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jason Chang (Coo/ Exec Vp)
- NPI
- 1417580275
- Provider Name
- THE QUEENS MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 91-6390 KAPOLEI PKWY EWA BEACH, HI 96706
- Location Phone
- (808) 735-0007
- Location Fax
- (808) 735-0021
- Mailing Address
- 449 KAPAHULU AVE STE 104 HONOLULU, HI 96815
- Mailing Phone
- (808) 735-0007
- Mailing Fax
- (808) 735-0021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2020
- Last Update Date
- 02-19-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 12D2075360
- Facility Type
- Hospital
- Certificate Effective Date
- November 19, 2024
- Certificate Expiration Date
- November 18, 2026
- Laboratory Director
- DR. WESLEY J. KIM
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to The Queens Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for THE QUEENS MEDICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 5 | 8 | 0 | 2 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 10 | 8 | 0 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 0 + 8 + 0 + 2 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1417580275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164054763 | PRIMARY CARE PHYSICIAN ENTERPRISE LLC Organization | Clinic/Center | 91-6390 KAPOLEI PKWY EWA BEACH, HI 96706 (808) 691-4600 |
| 1215370663 | DR. DARCIE MARIE TAKEMOTO D.O. Individual | Pediatrics | 91-6390 KAPOLEI PKWY STE 200 EWA BEACH, HI 96706 (808) 691-8200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417580275, enumerated in the NPI registry as an "organization" on February 19, 2020
The provider is located at 91-6390 Kapolei Pkwy Ewa Beach, Hi 96706 and the phone number is (808) 735-0007
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 12D2075360 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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