| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | |
|
655 Watkins Mill Rd Gaithersburg MD 20879-3301 | |
| (240) 632-4150 | |
| Not Available |
| Full Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 655 Watkins Mill Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Colleen E Swinton (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 3012572797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc 4000 Garden City Dr Hyattsville MD 20785-2418 Ph: (301) 816-2424 | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc 655 Watkins Mill Rd Gaithersburg MD 20879-3301 Ph: (240) 632-4150 |
| NPI Number | 1508298837 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508298837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 21762 (Maryland) | Primary |
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