| NPI | 1205997517 |
|---|---|
| Other Name | SOURCEONE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | WAYNE MACARDY President 800-779-1276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-11-13 |