| NPI | 1649881194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA DINKELMAN Vice President, Tax 314-505-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |