KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC; NPI #1205420247

Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

5400 HILLMEADE RD
BOWIE, MD 20720-4777

Phone: 301-867-1330
Fax: 301-867-1332
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	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 MID ATLANTIC STATES, INC

NPI Number	`1205420247`
LBN Legal business name	KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official	COLLEEN SWINTON - (DIRECTOR, CREDENTIALING)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	02/20/2021
Last updated	07/24/2025 - About 11 months ago
Identifiers	n/a

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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