| NPI | 1619974763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R METCALFE Assistant Administrator 505-532-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |