NPI 1497061469

Foundation Medical Staffing

Organisation Exclusive Provider Organization Edmond, OK

Practice location

Address: 416 W 15th St STE 600, Edmond, OK 73013-3672
Phone: (800) 774-9251

Authorised official

Name: Mark Jacobs
Title: Director of Operations
Phone: (800) 774-9251

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 35725 (CA)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1497061469
Entity type: Organization
NPI issued: 27 Aug 2010
Record last updated: 27 Aug 2010

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.