Kaiser Health Plan Arden Refill Phy 612

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Arden Refill Phy 612 is an health care organization with primary practice located at 3184 Arden Way , Sacramento CA 95825-3701. 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 (916) 486-5269, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
3184 Arden Way Sacramento CA 95825-3701
Phone: (916) 486-5269
Fax: (916) 486-5273
Website:
Map and Directions
Authorized official contact:
Name: Kvancz, David
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY39981 California

Profile Details

NPI number 1568519890
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Arden Refill Phy 612
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Dec 21st, 2011 - about 13 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 1568519890 NPPES
Other 0565501 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA399810 NCPDP PROVIDER IDENTIFICATION NUMBER

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