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Kaiser Foundation Health Plan Of The Mid Atlantic States, INC

Health Maintenance Organization in Mc Lean, VA. Organization (NPI-2).

NPI number1376815472
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1376815472
Entity type
Organization (NPI-2)
Legal business name
Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
Organization subpart
Yes
Enumeration date
Feb 3, 2012
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Other names

  • Kaiser Permanente Tysons Corner Medical Center (Doing Business As)

Practice location

8008 Westpark Dr
Mc Lean, VA 22102-3109

Phone 703-490-8400

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Phone 301-816-2424

Authorized official

Colleen Swinton
Director, Credentialing
3012572797

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