NPI | 1346526480 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL ALLEN LINDNER President 765-482-1610 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IN 08000854A) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2011-11-16 |