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Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7141 SECURITY BLVD
BALTIMORE, MD21244-1811
 Phone: 443-663-6435
 Fax: 443-663-6430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

NPI # 1831411628
LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official COLLEEN SWINTON - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2010
Last updated 10/10/2025 - About 8 months ago
Identifiers
MD License # PW0333
Other 2135146 NCPDP PROVIDER IDENTIFICATION NUMBER
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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