Kaiser Fdn Hsp Phy 21A

LBN: Kaiser Foundation Hospitals
Kaiser Fdn Hsp Phy 21A is an health care organization with primary practice located at 975 Sereno Drive Hosp Bldg , Vallejo CA 94589. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (707) 651-2072, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
975 Sereno Drive Hosp Bldg Vallejo CA 94589
Phone: (707) 651-2072
Fax: (707) 651-2073
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X HSP40760 California

Profile Details

NPI number 1629126412
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Fdn Hsp Phy 21A
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated May 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629126412 NPPES
Other 0552643 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHB407600 NCPDP PROVIDER IDENTIFICATION NUMBER

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