NPI 1821393323

Care for Change

Organisation Preferred Provider Organization Oklahoma City, OK

Practice location

Address: 3621 N Kelley Ave Suite 100, Oklahoma City, OK 73111-4520
Phone: (405) 621-5952
Fax: (405) 621-5952

Authorised official

Name: Joseph Dismuke
Title: Manager
Phone: (405) 524-5525

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 101YA0400X (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1821393323
Entity type: Organization
NPI issued: 14 Jan 2011
Record last updated: 18 Jan 2011

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.