NORTHEASTERN HEALTH SYSTEM NPI 1306387949

NPI Information

NPI: 1306387949
Provider Name: NORTHEASTERN HEALTH SYSTEM

Doing Business As: TAHLEQUAH MEDICAL GROUP PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1201 E ROSS BYP
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 207-0991
Get Directions

NORTHEASTERN HEALTH SYSTEM is a rural health clinic center in Tahlequah, OK. NORTHEASTERN HEALTH SYSTEM NPI is 1306387949. The provider is registered as an organization entity type.
The provider Is Doing Business As Tahlequah Medical Group Primary Care.

The provider's business location address is:

1201 E ROSS BYP
TAHLEQUAH, OK
ZIP 74464-188
Phone: (918) 207-0991
Fax: (918) 456-7570

The provider's authorized official is Julie Ward .
The authorized official title is Cfo and has the following contact phone number (918) 453-2120.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 5/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »