Healthcare Provider Details

I. General information

NPI: 1295404044
Provider Name (Legal Business Name): EV OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 CANTERBURY BLVD
ALTUS OK
73521-4917
US

IV. Provider business mailing address

4350 WILL ROGERS PKWY STE 300
OKLAHOMA CITY OK
73108-1839
US

V. Phone/Fax

Practice location:
  • Phone: 580-477-1133
  • Fax:
Mailing address:
  • Phone: 405-943-1144
  • Fax: 405-639-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRETT COBLE
Title or Position: PRESIDENT
Credential:
Phone: 405-943-1144