Active NPI
Heartland Travel Health Services LLC
- Health Maintenance Organization
- Oklahoma City, OK
National Provider Identifier
1013277979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 28286
- Legal business name
- HEARTLAND TRAVEL HEALTH SERVICES LLC
- Practice address
- 3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726 - Phone
- (888) 528-9521
- Fax
- (888) 521-6702
- NPI assigned
- May 24, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Bret Rice Haymore, M.D
- Title
- Medical Director
- Phone
- (405) 563-8961
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1700250909
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1649793043
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1851865802
National Provider Directory
National Provider DirectoryLocations
14033 N Eastern Ave
Ste A
Edmond, OK 73013
Phone (405) 478-1507
3330 NW 56th St
Ste 106
Oklahoma City, OK 73112
Phone (405) 563-8961
3545 NW 58th St
Ste 340
Oklahoma City, OK 73112
Phone (888) 528-9521
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 28286 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726
Mailing address
3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726
Phone (888) 528-9521
Other names 1
NPPES NPI Registry- Passport Health of Oklahoma
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2012.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343001600000",
"number": "1013277979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 NW 58TH ST",
"address_2": "SUIT 340",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124726",
"telephone_number": "888-528-9521",
"fax_number": "888-521-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 NW 58TH ST",
"address_2": "SUIT 340",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124726",
"telephone_number": "888-528-9521",
"fax_number": "888-521-6702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND TRAVEL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2012-07-23",
"status": "A",
"authorized_official_last_name": "HAYMORE",
"authorized_official_first_name": "BRET",
"authorized_official_middle_name": "RICE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "405-563-8961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "OK",
"license": "28286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health of Oklahoma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.