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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417580275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
EWA BEACH, HI 96706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417580275, enumerated 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.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
