NPI:
1932419983
Provider Name:
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Doing Business As: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. ESRD
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
Address:
700 2ND ST NE
WASHINGTON, DC
ZIP 20002
Phone:
(202) 346-3550
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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. is an end-stage renal disease (esrd) treatment clinic center in Washington, DC. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. NPI is 1932419983. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc. Esrd.
The provider's business location address is:
700 2ND ST NE
WASHINGTON, DC
ZIP 20002-308
Phone: (202) 346-3550
The provider's authorized official is Glen W Dawes .
The authorized official title is Interim Chief Financial Officer and has the following contact phone number (301) 816-5760.
The enumeration date for this NPI number is 10/8/2010 and was last updated on 5/27/2021.