Kaiser Health Plan Mob 1 Phy 211

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob 1 Phy 211 is an health care organization with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (707) 651-3441, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
975 Sereno Dr Vallejo CA 94589-2441
Phone: (707) 651-3441
Fax: (707) 651-3404
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY37047 California

Profile Details

NPI number 1851448179
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob 1 Phy 211
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Oct 22nd, 2020 - about 5 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 1851448179 NPPES
Other 0552693 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHB370470 NCPDP PROVIDER IDENTIFICATION NUMBER

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