MEDICARE: RHEA HEALTH LLC

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	2083X0100X	Occupational Medicine Physician

General Provider Information

NPI Number	:	1609821370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEA HEALTH LLC

Provider Business Mailing Address
First Line	:	1421 S COUNCIL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73128-9504
Country	:	US
Telephone Number	:	405-440-2095
Fax Number	:	405-440-2318

Provider Business Practice Location Address
First Line	:	1421 S COUNCIL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73128-9504
Country	:	US
Telephone Number	:	405-440-2095
Fax Number	:	405-440-2318

Authorized Official
Title or Position	:	CEO
Name	:	MR. FRANK FUGLESTAD
Credential	:
Telephone Number	:	405-440-2095

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	03/26/2021

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Directions to “RHEA HEALTH LLC ” Practice Location

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