Active NPI
Mco Healthplans of Oklahoma
Doing business as Healthcare Management Company of Oklahoma
- Nursing Facility/Intermediate Care Facility
- Ardmore, OK
National Provider Identifier
1538386735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- R0068940
- Legal business name
- MCO HEALTHPLANS OF OKLAHOMA
- Doing business as
- Healthcare Management Company of Oklahoma
- Practice address
- 1908 12TH Ave NW Ste E
Ardmore, OK 73401-1255 - Phone
- (580) 223-8805
- Fax
- (580) 223-8805
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Beverly Anne Campbell, ARNP
- Title
- Nurse Practitioner
- Phone
- (580) 319-8890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | R0068940 | OK | Primary |
Addresses
Primary practice location
1908 12TH Ave NW Ste E
Ardmore, OK 73401-1255
Mailing address
1908 12TH Ave NW Ste E
Ardmore, OK 73401-1255
Phone (580) 223-8805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | OK | SSN |
Other names 1
- Healthcare Management Company of Oklahoma
National Provider Directory
National Provider DirectoryLocations
1908 12th Ave NW
Ste E
Ardmore, OK 73401
Phone (580) 226-3055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1538386735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 12TH AVE NW STE E",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011255",
"telephone_number": "580-223-8805",
"fax_number": "580-223-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 12TH AVE NW STE E",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011255",
"telephone_number": "580-223-8805",
"fax_number": "580-223-8805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCO HEALTHPLANS OF OKLAHOMA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-05-21",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "580-319-8890",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OK",
"license": "R0068940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthcare Management Company of Oklahoma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.