Kaiser Permanente

LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente is an health care organization with primary practice located at 3650 Steve Reynolds Blvd , Duluth GA 30096-4506. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of Georgia, Inc. can be contacted via phone (770) 931-6362, or through Sanders, Diane via phone (770) 712-5654.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Duluth GA 30096-4506
Phone: (770) 931-6362
Fax: (770) 931-6360
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Diane
Phone: (770) 712-5654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHCL000016 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1851530950
LBN Legal business name Kaiser Foundation Health Plan Of Georgia, Inc.
DBA Doing business as Kaiser Permanente
Authorized official Sanders, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Aug 4th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851530950 NPPES
Other 2118693 PK

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