Organization Name: | BESSIE OTT |
NPI Number: | 1053652636 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BESSIE MAE OTT (CASE MANAGER 1) |
Mailing Address: | 111 S Main St Mcalester |
State: | OK US |
Postal Code: | 745015363 |
Phone Number: | 9184235204 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2013 |
NPI Last Update Date: | 03/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | K082489707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |