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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
Fredericksburg Medical 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 (CREDENTIALING DIRECTOR)
(301) 257-2797
Entity
Organization

Contact information

Practice address
1201 HOSPITAL DR, FREDERICKSBURG, VA 22401-8428
(540) 368-3700
(301) 816-7170
Mailing address
4000 GARDEN CITY DR, KAISER PERMANENTE CREDENTIALING DEPARTMENT, HYATTSVILLE, MD 20785-2418
(301) 257-2797

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C08232
MEDICARE GROUP ID
VA
Enumeration date
11/26/2008
Last updated
10/07/2025
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