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
Tysons Corner Medical Center Ambulatory Surgery 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
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 490-8400
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
07/24/2025
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