Organization 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
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
R0068940 Issued in OK
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

Updated by the provider on May 21, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
$$$$$$$$$OtherOKSSN

Other names 1

  • Healthcare Management Company of Oklahoma Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.