NPI | 1366974347 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA G SCHWEIKERT Sole Member 541-821-2596 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR L6451) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: OR L6451) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |