Kaiser Health Plan Mb Phy 113
LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mb Phy 113 is an health care organization with primary practice located at 255 W Macarthur Blvd , Oakland CA 94611-5641. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic 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 (510) 752-7864, or through Carver, Albert via phone (562) 658-3510.
Contact Information
Primary practice address
255 W Macarthur Blvd
Oakland CA 94611-5641
Phone: (510) 752-7864
Fax: (510) 752-7464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY33939 | California |
Profile Details
| NPI number | 1356499149 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Health Plan Mb Phy 113 |
| Authorized official | Carver, Albert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | May 20th, 2010 - about 15 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 | 1356499149 | NPPES |
| Other | 0556160 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA339390 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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