Organization Active NPI

Mhsso

  • Health Maintenance Organization
  • Ada, OK
National Provider Identifier
1386040970
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MHSSO
Practice address
111 E 12TH St
Ada, OK 74820-6501
Phone
(580) 436-2690
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Maxberry, B.A.
Title
Crisis Case Manger
Phone
(580) 320-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

111 E 12TH St
Ada, OK 74820-6501

Mailing address

2128 E Surrey LN
Ada, OK 74820-2865
Phone (580) 320-8120

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1386040970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 E SURREY LN",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202865",
            "telephone_number": "580-320-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206501",
            "telephone_number": "580-436-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHSSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MAXBERRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CRISIS CASE MANGER",
        "authorized_official_telephone_number": "580-320-8120",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.