Organization
KAISER FOUNDATION HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R REVIS (VP CHIEF FINANCIAL OFFICER)
(211) 265-8810
Entity
Organization
Contact information
Practice address
1001 LAKESIDE AVE, SUITE 1200, CLEVELAND, OH 44114
(216) 265-8844
(216) 265-8890
Mailing address
1001 LAKESIDE AVE, SUITE 1200, CLEVELAND, OH 44114
(216) 265-8844
(216) 265-8890
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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