| Organization Name: | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANITC STATES,INC |
| NPI Number: | 1225156367 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDEE G. PETERSEN (CHEIF FINANCIAL OFFIER) |
| Mailing Address: | 19450 Deerfield Ave Lansdowne |
| State: | VA US |
| Postal Code: | 201766820 |
| Phone Number: | 7037262100 |
| Fax Number: | 7037264550 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |