| NPI | 1487990594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D JENSEN Director 435-528-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 114076-3501) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |