| Organization Name: | GROUP HEALTH PLAN INC |
| NPI Number: | 1003142068 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID A DZIUK (CFO) |
| Mailing Address: | 8170 33rd Ave S Ms 21110q Minneapolis |
| State: | MN US |
| Postal Code: | 554254516 |
| Phone Number: | 9528837469 |
| Fax Number: | 9528835395 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |