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Contact Information

KAISER FOUNDATION HEALTH PLAN INC
2240 MERCURY WAY
FL 1 MOB 6
SANTA ROSA, CA95407
 Phone: 707-570-3499
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN INC

NPI Number 1548762263
LBN Legal business name KAISER FOUNDATION HEALTH PLAN INC
Authorized official KATHRYN BROWN - (VP PHARMACY OPERATIONS & SVCS, NCAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2018
Last updated 11/25/2020 - About 6 years ago
Identifiers
CA License # PHY55988
CA Other 5665940 NCPDP
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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