Kaiser Permanente West Marietta
LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente West Marietta is an health care organization with primary practice located at 2505 Dallas Hwy Sw , Marietta GA 30064-2659. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Of Georgia, Inc. can be contacted via phone (770) 792-2010, or through Sanders, Diane via phone (404) 949-5336.
Contact Information
Primary practice address
2505 Dallas Hwy Sw
Marietta GA 30064-2659
Phone: (770) 792-2010
Fax: (770) 792-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | PHRE009685 | Georgia |
Profile Details
| NPI number | 1063733210 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of Georgia, Inc. |
| DBA Doing business as | Kaiser Permanente West Marietta |
| Authorized official | Sanders, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Jul 10th, 2015 - about 10 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 | 1063733210 | NPPES |
| Other | 2125368 | PK |
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