Provider Demographics
NPI:1114182144
Name:MCO HEALTH PLANS, INC.
Entity Type:Organization
Organization Name:MCO HEALTH PLANS, INC.
Other - Org Name:HMC OF OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:COBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-223-8805
Mailing Address - Street 1:1908 12TH AVE NW
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1196
Mailing Address - Country:US
Mailing Address - Phone:580-223-8805
Mailing Address - Fax:580-223-8885
Practice Address - Street 1:1908 12TH AVE NW
Practice Address - Street 2:SUITE B
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1196
Practice Address - Country:US
Practice Address - Phone:580-223-8805
Practice Address - Fax:580-223-8885
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCO HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2341302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization