Kaiser Permanente Panola

LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Panola is an health care organization with primary practice located at 5440 Hillandale Dr , Lithonia GA 30058-4865. The organization recently has only one registered license in Suppliers / Managed Care Organization Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of Georgia, Inc. can be contacted via phone (770) 322-2737, or through Sanders, Diane via phone (770) 712-5654.

Contact Information

Primary practice address
5440 Hillandale Dr Lithonia GA 30058-4865
Phone: (770) 322-2737
Fax: (770) 322-3283
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Diane
Phone: (770) 712-5654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHRE007143 Georgia

Profile Details

NPI number 1487769378
LBN Legal business name Kaiser Foundation Health Plan Of Georgia, Inc.
DBA Doing business as Kaiser Permanente Panola
Authorized official Sanders, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
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 1487769378 NPPES
Other 1136743 NCPDP PROVIDER IDENTIFICATION NUMBER

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