Provider Demographics
NPI:1821494626
Name:UNITED PARTNERS HEALTHCARE 2, INC DBA PLATINUM HEALTHCARE
Entity Type:Organization
Organization Name:UNITED PARTNERS HEALTHCARE 2, INC DBA PLATINUM HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-9313
Mailing Address - Street 1:1304 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-1554
Mailing Address - Country:US
Mailing Address - Phone:918-967-9313
Mailing Address - Fax:918-967-8884
Practice Address - Street 1:1304 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-1554
Practice Address - Country:US
Practice Address - Phone:918-967-9313
Practice Address - Fax:918-967-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK377772251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1245579952Medicare UPIN