| NPI | 1912272006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA ANN WADE-HAIRSTON CEO 614-557-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |