Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital San Rafael
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY COFFEY (SENIOR VICE PRESIDENT, AREA MANAGER)
(707) 571-4222
Entity
Organization
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050510B000000
DHS-SECTION1011
CA
01
—
339040914
USDOL
CA
01
—
50510
BLUE CROSS OF CA
CA
05
—
HSP40510F
—
CA
05
—
ZZR00510F
—
CA
Enumeration date
11/08/2006
Last updated
04/20/2021
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