Kaiser Health Plan Mob 1 Phy 511

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob 1 Phy 511 is an health care organization with primary practice located at 1425 S Main St Fl 1 , Walnut Creek CA 94596-5318. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (925) 295-4464, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
1425 S Main St Fl 1 Walnut Creek CA 94596-5318
Fax: (925) 295-4462
Website:
Authorized official contact:
Name: Brown, Kathryn Renouard

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY40642 California
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1194873984
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob 1 Phy 511
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 7th, 2020 - about 4 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 1194873984 NPPES
Other 0549747 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHB406420 NCPDP PROVIDER IDENTIFICATION NUMBER

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