Kaiser Health Eureka 2Nd Fl Pharmacy 596

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Eureka 2Nd Fl Pharmacy 596 is an health care organization with primary practice located at 1600 Eureka Rd Fl 2 , Roseville CA 95661-3027. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (916) 784-5537, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
1600 Eureka Rd Fl 2 Roseville CA 95661-3027
Phone: (916) 784-5537
Fax: (916) 784-5539
Website:
Map and Directions
Authorized official contact:
Name: Kvancz, David
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY40894 California

Profile Details

NPI number 1053469866
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Eureka 2Nd Fl Pharmacy 596
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 23rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053469866 NPPES
Other 0565400 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA408940 NCPDP PROVIDER IDENTIFICATION NUMBER

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