Kaiser Fdn Hsp Out Hsp Phy 111

LBN: Kaiser Foundation Hospitals
Kaiser Fdn Hsp Out Hsp Phy 111 is an health care organization with primary practice located at 280 W Macarthur Blvd , Oakland CA 94611-5642. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (510) 752-6471, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
280 W Macarthur Blvd Oakland CA 94611-5642
Fax: (510) 752-5637
Website:
Authorized official contact:
Name: Kvancz, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X HSP21955 California
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1881742765
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Fdn Hsp Out Hsp Phy 111
Authorized official Kvancz, David
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 1881742765 NPPES
Other 0529149 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA219550 NCPDP PROVIDER IDENTIFICATION NUMBER

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