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Organization

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC.
Other names
Haymarket Crossroads Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC.
Authorized official
COLLEEN SWINTON (DIRECTOR, CREDENTIALING)
(301) 257-2797
Entity
Organization

Contact information

Practice address
15050 HEATHCOTE BLVD, HAYMARKET, VA 20169-6251
(571) 445-7200
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

Other

Enumeration date
07/30/2019
Last updated
07/24/2025
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