Kaiser Permanente Southwood
LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Southwood is an health care organization with primary practice located at 2400 Mount Zion Pkwy , Jonesboro GA 30236-2500. 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) 603-3511, or through Sanders Harvey, Diane via phone (770) 712-5654.
Contact Information
Primary practice address
2400 Mount Zion Pkwy
Jonesboro GA 30236-2500
Phone: (770) 603-3511
Fax: (770) 603-3561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | PHRE007139 | Georgia |
Profile Details
| NPI number | 1841306891 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of Georgia, Inc. |
| DBA Doing business as | Kaiser Permanente Southwood |
| Authorized official | Sanders Harvey, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 4th, 2021 - about 3 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 | 1841306891 | NPPES |
| Other | 1140994 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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