Kaiser Permanente Douglasville

LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Douglasville is an health care organization with primary practice located at 6875 Douglas Blvd , Douglasville GA 30135-7133. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail 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 (678) 838-2226, or through Sanders, Diane via phone (770) 712-5654.

Contact Information

Primary practice address
6875 Douglas Blvd Douglasville GA 30135-7133
Phone: (678) 838-2226
Fax: (678) 838-2231
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Diane
Phone: (770) 712-5654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHRE009688 Georgia

Profile Details

NPI number 1316251598
LBN Legal business name Kaiser Foundation Health Plan Of Georgia, Inc.
DBA Doing business as Kaiser Permanente Douglasville
Authorized official Sanders, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2010
Last updated Aug 4th, 2021 - about 4 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 1316251598 NPPES
Other 2125971 PK

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