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Organization

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN SWINTON (DIRECTOR, CREDENTIALING)
(301) 257-2797
Entity
Organization

Contact information

Practice address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6235
(301) 702-6366
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R096203
MD

Other

Enumeration date
11/01/2010
Last updated
07/24/2025
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