Provider Demographics
NPI:1609821370
Name:RHEA HEALTH LLC
Entity Type:Organization
Organization Name:RHEA HEALTH LLC
Other - Org Name:RHEA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FUGLESTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-440-2095
Mailing Address - Street 1:1421 S COUNCIL RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73128-9504
Mailing Address - Country:US
Mailing Address - Phone:405-440-2095
Mailing Address - Fax:405-440-2318
Practice Address - Street 1:1421 S COUNCIL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-9504
Practice Address - Country:US
Practice Address - Phone:405-440-2095
Practice Address - Fax:405-440-2318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty