NPI 1104567791

Northeastern Health System

Organisation Medicare Defined Swing Bed Hospital Unit Tahlequah, OK

Practice location

Address: 1400 E Downing St, Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 772-4505
Mailing address: PO Box 1008, Tahlequah, OK 74465-1008

Authorised official

Name: James Theodore Berry
Title: Evp/Hospital Administrator
Phone: (918) 453-2263

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X

Other Medicare Defined Swing Bed Unit providers in Oklahoma →

Registry record

NPI: 1104567791
Entity type: Organization
NPI issued: 6 Apr 2022
Record last updated: 6 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.