# HUMANA WISCONSIN HEALTHY ORGANIZATION INSURANCE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275317323
- **Authorized official:** JOSEPH FAIRBANKS (MARKET PRESIDENT)
- **Authorized official phone:** (405) 753-0156

## Contact information

- **Practice address:** 210 PARK AVE, OKLAHOMA CITY, OK 73102-5636
- **Practice address phone:** (405) 753-0156
- **Mailing address:** 210 PARK AVE, OKLAHOMA CITY, OK 73102-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 12/13/2024