| NPI | 1407040371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY SUTHERLAND Senior Reimbursement Specialist 615-312-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TN 11700) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2019-09-26 |