| NPI | 1225400096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KIEFER Secretary 317-488-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IA 3194) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |