OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1215058326 · Health Maintenance Organization · Fairfax, VA
Provider details
- NPI number
- 1215058326
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Organization subpart
- Yes
- Authorized official
- Colleen Swinton, Director, Credentialing(301) 257-2797
Specialties & taxonomies
Managed Care Organizations
Practice location
12255 Fair Oaks Pkwy
Fairfax, VA 22033-3952
Phone: (703) 934-5700
Fax: (703) 934-5745
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Fair Oaks Medical Center
- Doing business as
- Fair Oaks Medical Center
Registry dates
- Enumerated
- 2007-04-03
- 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.