Provider Demographics
NPI:1770804940
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:
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 1:9701 DATA PARK
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9701 DATA PARK
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9026
Practice Address - Country:US
Practice Address - Phone:503-540-5640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITEDHEALTH GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-22
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization