KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Medical Equipment Supplier Yellow Pages
Puyallup, Washington
Provider NPI: 1447384425
Organization Information:Organization Name: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Practice Location:
1007 39TH AVE SE PUYALLUP, WA 98374 US
Tel: 253-435-3150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1007 39TH AVE SE PUYALLUP, WA 98374 US
Tel: 253-435-3150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | WA | CF00005120 |
Y | 333600000X | Suppliers Pharmacy | WA | CF00005120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4924913 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin