Organization · NPI-2

Kaiser Foundation Health Plan

Health Maintenance Organization · Cleveland, OH

NPI number1003934266
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1003934266
Entity type
Organization (NPI-2)
Legal business name
Kaiser Foundation Health Plan
Organization subpart
No
Enumeration date
Mar 27, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

1001 Lakeside Ave
Suite 1200
Cleveland, OH 44114

Phone 216-265-8844 · Fax 216-265-8890

Mailing address

1001 Lakeside Ave
Suite 1200
Cleveland, OH 44114

Phone 216-265-8844 · Fax 216-265-8890

Authorized official

Thomas R Revis
Vp Chief Financial Officer
2112658810

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