Provider Demographics
NPI:1619087152
Name:UNITED PARTNERS HEALTHCARE, INC.
Entity Type:Organization
Organization Name:UNITED PARTNERS HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TREASA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASSITER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-617-3056
Mailing Address - Street 1:100 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-2318
Mailing Address - Country:US
Mailing Address - Phone:918-967-2593
Mailing Address - Fax:
Practice Address - Street 1:100 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2318
Practice Address - Country:US
Practice Address - Phone:918-967-2593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377716Medicare Oscar/Certification