| NPI | 1578790986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A SHORTMAN Managed Care/Chs Supervisor 605-997-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SD LPC-MH2183) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |