| NPI | 1205393790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH JOHNSON Sr. Director, Medicare Operations 636-735-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |