Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1457416000 in Reston, Virginia

Provider Information

NPI Number
1457416000
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
Pharmacy - Mail Order Pharmacy
Enumeration Date
Dec 26, 2006
Last Updated
Jul 24, 2025

Practice Location

Address
1890 METRO CENTER DRIVE
City
Reston
ZIP Code
20190-5276
Phone
(703) 709-1810

Authorized Official

Name
COLLEEN E SWINTON
Title
CREDENTIALING DIRECTOR
Phone
(301) 257-2729

Specialties & Taxonomy Codes

Specialty
Pharmacy - Managed Care Organization PharmacyManaged Care Organization Pharmacy
Pharmacy - Mail Order PharmacyMail Order Pharmacy

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