NPI 1215298898

456678life Gate

Organisation Health Maintenance Organization Tulsa, OK

Practice location

Address: 10922 E 39th Street South, Tulsa, OK 74146-2703
Phone: (918) 378-6912
Mailing address: 10922 E 39th St, Tulsa, OK 74146-2703

Authorised official

Name: Bill Bateman
Title: Director
Phone: (918) 902-3770

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Oklahoma →

Registry record

NPI: 1215298898
Entity type: Organization
NPI issued: 31 May 2012
Record last updated: 31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.