| NPI | 1780708115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA L PANNULLO Claims & Customer Supp. Coordinator 303-617-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 302R0000x) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |