# MCO HEALTHPLANS OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthcare Management Company of Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538386735
- **Authorized official:** MS. BEVERLY ANNE CAMPBELL ARNP (NURSE PRACTITIONER)
- **Authorized official phone:** (580) 319-8890

## Contact information

- **Practice address:** 1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
- **Practice address phone:** (580) 223-8805
- **Practice address fax:** (580) 223-8805
- **Mailing address:** 1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
- **Mailing address phone:** (580) 223-8805
- **Mailing address fax:** (580) 223-8805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | R0068940 | OK | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 05/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SSN | OK |