OrganizationActive
Fern Angela Caudle
NPI 1043686686 · Health Maintenance Organization · Ardmore, OK
Provider details
- NPI number
- 1043686686
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Fern Caudle, Registered Nurse(580) 504-9976
- License
- 74581 (OK)
Specialties & taxonomies
Managed Care Organizations
Practice location
150 Whipperwill St
Ardmore, OK 73401-0644
Phone: (580) 504-9976
Approximate (ZIP-level) locationGet directions
Mailing address
150 Whipperwill St
Ardmore, OK 73401-0644
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2015-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.