Provider Demographics
NPI:1851617047
Name:UNITEDHEALTHCARE INSURANCE COMPANY, INC.
Entity Type:Organization
Organization Name:UNITEDHEALTHCARE INSURANCE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP MEDICARE PRODUCT, AMERICHOICE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BJORNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-540-5640
Mailing Address - Street 1:450 COLUMBUS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 COLUMBUS BLVD
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-1801
Practice Address - Country:US
Practice Address - Phone:503-540-5640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UHIC HOLDINGS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service