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KAISER FOUNDATION HEALTH PLAN INC

Medical Equipment Supplier Yellow Pages

Modesto, California

Provider NPI: 1699822924

Organization Information:
Organization Name:  KAISER FOUNDATION HEALTH PLAN INC


Practice Location:
3800 DALE RD  MODESTO, CA 95356 US
Tel: 209-557-6161  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
CAPHY46384

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER566300901
PHA463840CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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