Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1164076915 in Stafford, Virginia

Provider Information

NPI Number: 1164076915
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Primary Specialty: Health Maintenance Organization
Enumeration Date: Jul 30, 2019
Last Updated: Jul 24, 2025

Practice Location

Address: 125 HOSPITAL CENTER BLVD STE 110
City: Stafford
State: Virginia
ZIP Code: 22554-6202
Phone: (540) 602-6500

Authorized Official

Name: COLLEEN SWINTON
Title: DIRECTOR, CREDENTIALING
Phone: (301) 257-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Maintenance Organization	302R00000X	Primary

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