KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.

ROCKVILLE, MD
NPI1962108753
Doing Business AsKAISER PERMANENTE SHADY GROVE PERITONEAL DIALYSIS FACILITY
Entity TypeOrganization
Authorized ContactCOLLEEN SWINTON
Director, Regional Credentialing
301-257-2797
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2023-02-02
Last Update Date2023-02-02
Business Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
1396 PICCARD DR
ROCKVILLE, MD 20850-4302
Phone number: 301-548-5700
Mailing Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
1396 PICCARD DR
ROCKVILLE, MD 20850-4302
Phone number: 301-548-5700