MEDICARE: OKLAHOMA COMPLETE HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1104509124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA COMPLETE HEALTH, INC.

Provider Business Mailing Address
First Line	:	14000 QUAIL SPRINGS PKWY STE 650
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2614
Country	:	US
Telephone Number	:	833-752-1664
Fax Number	:

Provider Business Practice Location Address
First Line	:	14000 QUAIL SPRINGS PKWY STE 650
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2614
Country	:	US
Telephone Number	:	833-752-1664
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLAYTON FRANKLIN
Credential	:
Telephone Number	:	833-752-1664

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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