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Contact Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
3640 TRAMORE POINTE PKWY
AUSTELL, GA30106-6825
 Phone: 770-439-4703
 Fax: 770-439-4743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

NPI Number 1578606950
LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Authorized official DIANE SANDERS - (PHRM COMPL MANG)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 08/04/2021 - About 5 years ago
Identifiers
GA License # PHRE009118
Other 2016476 PK
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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