| NPI | 1053705707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M JENSEN President 208-339-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ID LPC 4914) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |