| NPI | 1922287580 |
|---|---|
| Former Legal Business Name | AMERIGROUP NEW MEXICO, INC. |
| Entity Type | Organization |
| Authorized Contact | MARC RUSSO President 212-518-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 5019) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2014-01-07 |