Kaiser Health Plan Mob 3 Phy 213

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob 3 Phy 213 is an health care organization with primary practice located at 975 Sereno Dr Fl 2 , Vallejo CA 94589-2441. 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 (707) 651-3443, or through Carver, Albert via phone (562) 658-3510.

Contact Information

Primary practice address
975 Sereno Dr Fl 2 Vallejo CA 94589-2441
Fax: (707) 651-3415
Website:
Authorized official contact:
Name: Carver, Albert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY37049 California

Profile Details

NPI number 1447308234
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob 3 Phy 213
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447308234 NPPES
Other 0552768 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA370490 NCPDP PROVIDER IDENTIFICATION NUMBER

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