Organization
MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.
Active
Organization
MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.
Active
Parent organization
MVIPA
Other names
MPCHP Advantage
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVIPA
Authorized official
MR. DEAN ANDRETTA (CFO)
(503) 587-5107
Entity
Organization
Contact information
Practice address
245 COMMERCIAL ST SE STE 220, SALEM, OR 97301-3466
(503) 371-7701
(503) 485-3224
Mailing address
245 COMMERCIAL ST SE STE 220, SALEM, OR 97301-3466
(503) 371-7701
(503) 485-3224
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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