Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Oakland-Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. FRATZKE (SENIOR VICE PRESIDENT)
(510) 752-2972
Entity
Organization
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1000
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050075B000000
SECTION 1011-DHS
CA
01
—
339040918
USDOL
CA
01
—
339040922
USDOL
CA
01
—
50075
BLUE CROSS OF CA
CA
05
—
HSP40074F
—
CA
05
—
HSP40075F
—
CA
05
—
ZZR00074F
—
CA
05
—
ZZR00075F
—
CA
01
—
ZZZA0104Z
BLUE SHIELD OF CA
CA
01
—
ZZZC0109Z
BLUE SHIELD OF CA
CA
Enumeration date
11/21/2006
Last updated
04/20/2021
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