NPI 1386040970

Mhsso

Organisation Health Maintenance Organization Ada, OK

Practice location

Address: 111 E 12th St, Ada, OK 74820-6501
Phone: (580) 436-2690
Mailing address: 2128 E Surrey Ln, Ada, OK 74820-2865

Authorised official

Name: Amber Maxberry
Title: Crisis Case Manger
Phone: (580) 320-8120

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Oklahoma →

Registry record

NPI: 1386040970
Entity type: Organization
NPI issued: 10 Nov 2014
Record last updated: 10 Nov 2014

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.