| NPI | 1780811612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD SCOTT HAIRE Billing Company President 575-534-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2011-03-02 |