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
Phone: (707) 651-3443
Fax: (707) 651-3415
Website:
Health care specialties
Specialty | Code | License # | 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 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 | 1447308234 | NPPES |
Other | 0552768 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
MEDICAID | PHA370490 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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Kaiser Foundation Health Plan Inc
975 Sereno Dr , Vallejo CA 94589-2441