| NPI | 1457908287 |
|---|---|
| Doing Business As | HEALTHY BLUE |
| Entity Type | Organization |
| Authorized Contact | JEFF DAVIS State Plan President 573-271-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2021-09-09 |