Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Walnut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN M MCKEOWN (SENIOR VICE PRESIDENT, AREA MANAGER)
(925) 295-5888
Entity
Organization
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072B000000
SECTION 1011-DHS
CA
01
—
339040908
USDOL
CA
01
—
50072
BLUE CROSS OF CA
CA
01
—
50635
BLUE CROSS OF CA
CA
05
—
HSP40635H
—
CA
05
—
ZZR00072F
—
CA
01
—
ZZZA0706Z
BLUE SHIELD OF CA
CA
01
—
ZZZC0705Z
BLUE SHIELD OF CA
CA
Enumeration date
11/21/2006
Last updated
04/20/2021
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