Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
Health Maintenance Organization in Stafford, VA. Organization (NPI-2).
NPI number1164076915
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1164076915
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
- Organization subpart
- Yes
- Enumeration date
- Jul 30, 2019
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Other names
- Colonial Forge Medical Center (Doing Business As)
Practice location
125 Hospital Center Blvd Ste 110Stafford, VA 22554-6202
Phone 540-602-6500
Mailing address
4000 Garden City DrHyattsville, MD 20785-2418
Phone 301-816-2424
Authorized official
Colleen Swinton
Director, Credentialing
3012572797
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