KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES,INC

LANSDOWNE, VA
NPI1861552721
Doing Business AsKAISER PERMANENTE LOUDOUN MEDICAL CENTER
Entity TypeOrganization
Authorized ContactANDEE G PETERSEN
Chief Financial Officer
301-816-5760
Organization Subpart ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
Additional Taxonomies103T00000X Psychologist
133N00000X Nutritionist
163WP0200X Registered Nurse, Pediatrics
152W00000X Optometrist
207K00000X Allergy & Immunology
207Q00000X Family Medicine
207R00000X Internal Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RR0500X Internal Medicine, Rheumatology
207V00000X Obstetrics & Gynecology
2084P0800X Psychiatry & Neurology, Psychiatry
2085R0202X Radiology, Diagnostic Radiology
208600000X Surgery
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2006-12-11
Last Update Date2021-05-27
Business Address
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES,INC
19450 DEERFIELD AVENUE
LANSDOWNE, VA 20176-6821
Phone number: 703-726-2100
Mailing Address
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES,INC
2101 E JEFFERSON STREET 3 WEST DATA MANAGEMENT DEPT ATTN SANJAY MATHUR
ROCKVILLE, MD 20852-4908
Phone number: 301-816-7446