Organization
MCO HEALTHPLANS OF OKLAHOMA
Active
Other names
Healthcare Management Company of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ANNE CAMPBELL ARNP (NURSE PRACTITIONER)
(580) 319-8890
Entity
Organization
Contact information
Practice address
1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
(580) 223-8805
(580) 223-8805
Mailing address
1908 12TH AVE NW STE E, ARDMORE, OK 73401-1255
(580) 223-8805
(580) 223-8805
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R0068940
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
OK
Enumeration date
04/19/2007
Last updated
05/21/2020
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