| NPI | 1356494272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN VALORY CARLO Office/Billing Manager 208-375-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ID M2849) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-03-05 |