| NPI | 1952844334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TAYLOR Chief Financial Officer 715-204-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2020-08-13 |