NPI 1902344328

Dept of Health and Human Services Phs Indian Health Service

Organisation Exclusive Provider Organization Oklahoma City, OK

Practice location

Address: 701 Market Dr, Oklahoma City, OK 73114-8132
Phone: (405) 951-3815
Fax: (405) 951-3916

Authorised official

Name: Angie Carol Jennings
Title: Administrative Assistant
Phone: (405) 615-8971

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1902344328
Entity type: Organization
NPI issued: 6 Feb 2017
Record last updated: 6 Feb 2017

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.