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NPI Code Detail

MEDICARE: KAISER PERMANENTE

MEDICARE: KAISER PERMANENTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184782195
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER PERMANENTE
Provider Business Mailing Address
First Line : 12301 SNOW ROAD
Second Line :
City : PARMA
State : OH
Zip : 44130
Country : US
Telephone Number : 216-265-8844
Fax Number : 216-265-8890
Provider Business Practice Location Address
First Line : 8930 CANYON FALLS
Second Line :
City : TWINSBURG
State : OH
Zip : 44087
Country : US
Telephone Number : 216-265-8844
Fax Number : 216-265-8890
Authorized Official
Title or Position : VP CFO
Name : CRAIG FAERBER
Credential :
Telephone Number : 216-265-8844
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/19/2012

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Directions to “KAISER PERMANENTE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.