Kaiser Foundation Health Plan of the Mid Atlantic States, INC
NPI #1417595596 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1417595596
- 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 - Health Service
- Enumeration Date
- Dec 19, 2019
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 6104 OLD BRANCH AVE
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-2518
- Phone
- (301) 702-6100
Authorized Official
- Name
- MRS. COLLEEN E SWINTON
- Title
- CREDENTIALING DIRECTOR
- Phone
- (301) 257-2797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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