NPI 1487924106

Noah Ark Rehabilitation Center

Organisation Health Maintenance Organization Midwest City, OK

Practice location

Address: 9233 NE 10th St, Midwest City, OK 73130-1317
Phone: (405) 549-9061
Mailing address: PO Box 102, Choctaw, OK 73020-0102

Authorised official

Name: Barbara Ann Deberry
Title: Director
Phone: (405) 549-9061

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 302R00000X (OK)

Other Health Maintenance Organization providers in Oklahoma →

Registry record

NPI: 1487924106
Entity type: Organization
NPI issued: 11 Jan 2012
Record last updated: 11 Jan 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.