Tahlequah City Hospital

LBN: Northeastern Health System
Tahlequah City Hospital is an health care organization with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Hospitals / General Acute Care Hospital, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / General Acute Care Hospital is the primary health care specialty. Northeastern Health System can be contacted via phone (918) 456-0641, or through Woodliff, Brian via phone (918) 456-0641.

Contact Information

Primary practice address
1400 E Downing St Tahlequah OK 74464-3324
Fax: (918) 456-8886
Website:
Authorized official contact:
Name: Woodliff, Brian

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2178 Oklahoma
Hospitals / General Acute Care Hospital 282N00000X 2178 Oklahoma
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2178 Oklahoma

Profile Details

NPI number 1003865999
LBN Legal business name Northeastern Health System
DBA Doing business as Tahlequah City Hospital
Authorized official Woodliff, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Nov 20th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003865999 NPPES
Oklahoma Other 000370089001 BCBS
Oklahoma MEDICAID 100700680A BCBS

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