 |
| Health Insurance Plan |
Provider Number |
Effective Date |
| Tricare |
202874196 |
4/10/07 |
| Medicare |
F1483 |
1/31/07 |
| RR Medicare |
P00373665 |
1/31/07 |
| Medicaid |
076646100 |
1/11/07 |
| Multiplan/PHCS |
202874196 |
12/1/07 |
| NPPN |
202874196 |
11/13/07 |
| United Healthcare |
202874196 |
7/1/07 |
| UHC Medicaid |
202874196 |
2/1/08 |
| UHC Secure Horizons |
202874196 |
Pending |
|
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