| NPI | 1285749184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M. DEMICK Executive Director 618-345-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |