Kaiser Permanente Crescent Center
LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Crescent Center is an health care organization with primary practice located at 200 Crescent Center Pkwy , Tucker GA 30084-7047. 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) 496-3523, or through Sanders-Harvey, Diane via phone (404) 949-5336.
Contact Information
Primary practice address
200 Crescent Center Pkwy
Tucker GA 30084-7047
Phone: (770) 496-3523
Fax: (770) 496-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | PHRE007007 | Georgia |
Profile Details
| NPI number | 1578678462 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of Georgia, Inc. |
| DBA Doing business as | Kaiser Permanente Crescent Center |
| Authorized official | Sanders-Harvey, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578678462 | NPPES |
| Other | 1136111 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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