| NPI | 1154647097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WOODLEY President 208-947-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2024-05-20 |