Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital - Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S HANENBURG (SVP/AREA MANAGER)
(510) 784-4355
Entity
Organization
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3000
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050512B000000
SECTION 1011-DHS
CA
01
—
339040917
USDOL
CA
01
—
50512
BLUE CROSS OF CA
CA
05
—
HSP40512F
—
CA
05
—
ZZR00512F
—
CA
01
—
ZZZC0109Z
BLUE SHIELD OF CA
CA
Enumeration date
11/17/2006
Last updated
04/14/2021
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