| NPI | 1104704774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCHMACKER Plan President & CEO 844-366-2880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |