KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Managed Care Organization Pharmacy
Washington, District Of Columbia
Provider NPI: 1588973812
Organization Information:Organization Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Practice Location:
700 2ND ST NE SUITE L18 WASHINGTON, DC 20002 US
Tel: 202-346-3300 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:
700 2ND ST NE SUITE L18 WASHINGTON, DC 20002 US
Tel: 202-346-3300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336M0003X | Suppliers Pharmacy Managed Care Organization Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE GROUP ID | 410092 | DC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin