KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.; NPI #1841232626

Contact Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

750 TOWNPARK LN NW
KENNESAW, GA 30144-5579

Phone: 770-514-5500
Fax: 770-514-5514
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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

NPI # 1841232626

LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Authorized official DIANE SANDERS - (PHCY COMPLIANCE MGR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/13/2006

Last updated 08/04/2021 - About 5 years ago

Identifiers

GA	License #	PHRE07745
	Other	1140982	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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KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Contact Information

Specialty

Managed Care Organization Pharmacy

Pharmacy

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

Reviews for KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.