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Organization
HUMANA WISCONSIN HEALTHY ORGANIZATION INSURANCE CORPORATION
Active
Organization
HUMANA WISCONSIN HEALTHY ORGANIZATION INSURANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FAIRBANKS (MARKET PRESIDENT)
(405) 753-0156
Entity
Organization
Contact information
Practice address
210 PARK AVE, OKLAHOMA CITY, OK 73102-5636
(405) 753-0156
Mailing address
210 PARK AVE, OKLAHOMA CITY, OK 73102-5636
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
08/21/2023
Last updated
12/13/2024
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