NPI | 1649695719 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BARTH VP Compliance & Regulatory Affairs 317-684-9478 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-02-26 |