# KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- **Other names:** Kaiser Permanente Capitol Hill Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699084046
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- **Authorized official:** MR. COLLEEN E SWINTON (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (301) 257-2797

## Contact information

- **Practice address:** 700 2ND ST NE, SUITE L18, WASHINGTON, DC 20002-4308
- **Practice address phone:** (202) 346-3300
- **Practice address fax:** (202) 346-3301
- **Mailing address:** 4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
- **Mailing address phone:** (301) 816-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 07/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 410092 | MEDICARE GROUP ID | DC |