OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1003116534 · Health Maintenance Organization · Temple Hills, MD
Provider details
- NPI number
- 1003116534
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Colleen Swinton, Director, Credentialing(301) 257-2797
- License
- R096203 (MD)
Specialties & taxonomies
Managed Care Organizations
Practice location
6104 Old Branch Ave
Temple Hills, MD 20748-2518
Phone: (301) 702-6235
Fax: (301) 702-6366
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Registry dates
- Enumerated
- 2010-11-01
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.