Kaiser Health Plan Arden Refill Phy 612
LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Arden Refill Phy 612 is an health care organization with primary practice located at 3184 Arden Way , Sacramento CA 95825-3701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (916) 486-5269, or through Kvancz, David via phone (562) 658-3510.
Contact Information
Primary practice address
3184 Arden Way
Sacramento CA 95825-3701
Phone: (916) 486-5269
Fax: (916) 486-5273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY39981 | California |
Profile Details
| NPI number | 1568519890 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Health Plan Arden Refill Phy 612 |
| Authorized official | Kvancz, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 21st, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568519890 | NPPES |
| Other | 0565501 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA399810 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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