Kaiser Health Plan 2 West Pharmacy 582
LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan 2 West Pharmacy 582 is an health care organization with primary practice located at 401 Bicentennial Way 2Nd Floor, Santa Rosa CA 95403. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (707) 571-4357, or through Flowers, William Perry via phone (562) 658-3510.
Contact Information
Primary practice address
401 Bicentennial Way 2Nd Floor
Santa Rosa CA 95403
Phone: (707) 571-4357
Fax: (707) 571-4894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY34285 | California |
Profile Details
| NPI number | 1235275744 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Health Plan 2 West Pharmacy 582 |
| Authorized official | Flowers, William Perry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 1st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235275744 | NPPES |
| Other | 0566692 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA342850 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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