NPI | 1619034022 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN R GILLESPIE Chief Medical Officer 317-783-8137 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IN 35-091357) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-07-31 |