| NPI | 1861854267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ZIEBART Manager 360-882-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ AL9873C) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |