Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Managed Care Organization Pharmacy · Halethorpe, MD
NPI 1124366554 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1124366554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Managed Care Organization Pharmacy 3336M0003X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- Practice address
- 1701 Twin Springs Rd
Halethorpe, MD 21227-3553 - Phone
- (410) 737-5200
- Fax
- (410) 737-5201
- NPI assigned
- Jan 18, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
- Name
- Colleen Swinton
- Title
- Director, Credentialing
- Phone
- (301) 257-2797
Corporate family (same tax ID) 22
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2055739 | Kaiser Permanente South Baltimore County Lab | Accreditation | Jul 22, 2026 |
National Provider Directory
- Tax ID family
- Kaiser Found HLTH Plan
- Part of
- Kaiser Found HLTH Plan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | Yes |
Addresses
Primary practice location
1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- Kaiser Permanente South Baltimore County Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Halethorpe, MD
- Samir Jain
- Golbahar Jalali-Jafari
- Tayler Marie Jensen
- JLJ Medical Limited Liabilty Company, Priority Care Clinics
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
All providers in Halethorpe, MD · Managed Care Organization Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.