| NPI | 1912095563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN A SUND President 208-733-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ID NP282-A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |