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
—
—
Other
Enumeration date
08/21/2023
Last updated
12/13/2024
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