NPI | 1396007209 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIG DAVID HINDMAN Provider/Owner 907-696-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AK 342) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2017-10-17 |