Provider Demographics
NPI:1952486144
Name:PARTNERS IN HEALTH, INC
Entity Type:Organization
Organization Name:PARTNERS IN HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAULGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-703-2100
Mailing Address - Street 1:1625 GREENBRIAR PL STE 700
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7646
Mailing Address - Country:US
Mailing Address - Phone:405-703-2100
Mailing Address - Fax:405-703-2103
Practice Address - Street 1:1625 GREENBRIAR PL STE 700
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7646
Practice Address - Country:US
Practice Address - Phone:405-703-2100
Practice Address - Fax:405-703-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13233174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100100660AMedicaid
OK442543848PMedicare ID - Type Unspecified
OK100100660AMedicaid