Kaiser Foundation Health Plan Of Georgia, Inc., NPI 1295840189
Managed Care Organization Pharmacy in Atlanta, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1295840189
NPI Entity Type Organization
Provider Name Kaiser Foundation Health Plan Of Georgia, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2525 Cumberland Pkwy Se, Atlanta, GA, US
Provider Mailing Address 2525 Cumberland Pkwy Se, Atlanta, GA, US, 303393915
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. Diane Sanders
Official Position PHCY COMPLIANCE MGR
Phone 770-712-5654

Primary Taxonomy

Taxonomy Code

3336M0003X

Taxonomy Name Managed Care Organization Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHRE007009
License State GA
Description A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Other Organization Name

KAISER PERMANENTE CUMBERLAND
Doing Business As

Business Address

Kaiser Foundation Health Plan Of Georgia, Inc.
2525 Cumberland Pkwy Se

Atlanta, GA, US

Phone: 770-431-4136
Fax: 770-431-4194

Mailing Address

Kaiser Foundation Health Plan Of Georgia, Inc.
2525 Cumberland Pkwy Se
Atlanta, GA, US
ZIP 303393915
Phone: 770-431-4136
Fax: 770-431-4194

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
SOAP https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggateways Carequality HIE OTHER No 2525 Cumberland Pkwy SE, Atlanta, GA, US

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