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:
Map and Directions
Authorized official contact:
Name: Carver, Albert
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #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 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356499149 NPPES
Other 0556160 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA339390 NCPDP PROVIDER IDENTIFICATION NUMBER

Popular Providers