Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1366781700 in Largo, Maryland

Provider Information

NPI Number: 1366781700
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: Clinic/Center - Ambulatory Surgical
Enumeration Date: Feb 5, 2013
Last Updated: Jul 24, 2025

Practice Location

Address: 1221 MERCANTILE LN
City: Largo
State: Maryland
ZIP Code: 20774-5374
Phone: (301) 618-5500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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