Shady Grove Medical Center

LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
Shady Grove Medical Center is an health care organization with primary practice located at 1396 Piccard Dr , Rockville MD 20850-4302. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc can be contacted via phone (301) 548-5700, or through Petersen, Deanne G. via phone (301) 816-5760.

Contact Information

Primary practice address
1396 Piccard Dr Rockville MD 20850-4302
Phone: (301) 548-5700
Fax: (301) 548-5709
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Deanne G.
Phone: (301) 816-5760

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1356462451
LBN Legal business name Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
DBA Doing business as Shady Grove Medical Center
Authorized official Petersen, Deanne G.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2007
Last updated May 26th, 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.

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