| NPI | 1528150174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE G BEITO Manager 952-955-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 332948) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |