NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC. NPI 1972052983

NPI Information

NPI: 1972052983
Provider Name: NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.

Doing Business As: TAHLEQUAH FAMILY PRACTICE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1500 E DOWNING ST
SUITE 101
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 708-3570
Get Directions

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Tahlequah, OK. NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. NPI is 1972052983. The provider is registered as an organization entity type.
The provider Is Doing Business As Tahlequah Family Practice.

The provider's business location address is:

1500 E DOWNING ST
SUITE 101
TAHLEQUAH, OK
ZIP 74464-234
Phone: (918) 708-3570
Fax: (918) 453-2772

The provider's authorized official is Scott Rosenthal .
The authorized official title is Ceo and has the following contact phone number (918) 772-3390.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 6/9/2020.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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

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