| NPI | 1760472450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS Interim President And CEO 731-541-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-04-29 |