| Organization Name: | SUSAN K MILLER |
| NPI Number: | 1104165687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN K MILLER (CARE COORDINATOR) |
| Mailing Address: | 3051 S Caryshea St Wasilla |
| State: | AK US |
| Postal Code: | 996239409 |
| Phone Number: | 9077158620 |
| Fax Number: | 8884777735 |
| NPI Enumeration Date: | 02/04/2013 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 979188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |