Healthcare Provider Details

I. General information

NPI: 1609821370
Provider Name (Legal Business Name): RHEA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S COUNCIL RD
OKLAHOMA CITY OK
73128-9504
US

IV. Provider business mailing address

1421 S COUNCIL RD
OKLAHOMA CITY OK
73128-9504
US

V. Phone/Fax

Practice location:
  • Phone: 405-440-2095
  • Fax: 405-440-2318
Mailing address:
  • Phone: 405-440-2095
  • Fax: 405-440-2318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK FUGLESTAD
Title or Position: CEO
Credential:
Phone: 405-440-2095