KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST; NPI #1790113371

Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

1230 7TH AVE.
LONGVIEW, WA 98682

Phone: 866-279-8943
Fax: 360-636-6271
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI # 1790113371

LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Authorized official STEVE LOGAN - (EXEC. DIRECTOR PHARMACY SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2013

Last updated 06/01/2021 - About 5 years ago

Identifiers

WA	License #	PHAR.CF.60362983
WA	Medicaid	6019384
WA	Other	PHAR.CF.60362983WA	BOP LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Contact Information

Specialty

Clinic Pharmacy

Managed Care Organization Pharmacy

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Reviews for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST