Organization Active NPI

Mco Health Plans, Inc

  • Gerontology Clinical Nurse Specialist
  • Ardmore, OK
National Provider Identifier
1760933634
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
Legal business name
MCO HEALTH PLANS, INC
Practice address
1908 12TH Ave NW
Suite B
Ardmore, OK 73401-1196
Phone
(580) 223-8805
Fax
(580) 223-8885
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. Michael D Hardimon, MBA, BSN, RN
Title
Executive Director
Phone
(828) 989-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SG0600X OK Primary

Addresses

Primary practice location

1908 12TH Ave NW
Suite B
Ardmore, OK 73401-1196

Mailing address

1908 12TH Ave NW
Suite B
Ardmore, OK 73401-1196
Phone (580) 223-8805

Other names 1

  • Health Care Management Company of Oklahoma, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Care Management Company of Oklahoma LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1908 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 223-8805

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1760933634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 12TH AVE NW",
            "address_2": "SUITE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011196",
            "telephone_number": "580-223-8805",
            "fax_number": "580-223-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 12TH AVE NW",
            "address_2": "SUITE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011196",
            "telephone_number": "580-223-8805",
            "fax_number": "580-223-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCO HEALTH PLANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "HARDIMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-989-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Management Company of Oklahoma, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 17, 2016; 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.