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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATESINC NPI 1942546486


NPI Information

NPI: 1942546486
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC

Doing Business As: SO. BALTIMORE COUNTY ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1701 TWIN SPRINGS RD
HALETHORPE, MD
ZIP 21227
Phone: (301) 816-2424
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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC is an ambulatory surgical clinic center in Halethorpe, MD. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC NPI is 1942546486. The provider is registered as an organization entity type.
The provider Is Doing Business As So. Baltimore County Asc.

The provider's business location address is:

1701 TWIN SPRINGS RD
HALETHORPE, MD
ZIP 21227-553
Phone: (301) 816-2424

The provider's authorized official is Deanne G Petersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5760.

The enumeration date for this NPI number is 1/2/2013 and was last updated on 5/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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