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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336M0003XSuppliers
Pharmacy
Managed Care Organization Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE GROUP ID410092DC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS DC - Page 1



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