| NPI | 1104165687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K MILLER Care Coordinator 907-715-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AK 979188) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-19 |