# TAHLEQUAH CITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAHLEQUAH HOSPITAL AUTHORITY
- **Other names:** TMG
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083947378
- **Legal business name:** TAHLEQUAH HOSPITAL AUTHORITY
- **Authorized official:** JAMES THEODORE BERRY (CEO)
- **Authorized official phone:** (918) 453-2263

## Contact information

- **Practice address:** 1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
- **Practice address phone:** (918) 456-0641
- **Practice address fax:** (918) 453-2341
- **Mailing address:** PO BOX 1008, TAHLEQUAH, OK 74465-1008
- **Mailing address phone:** (918) 456-0641
- **Mailing address fax:** (918) 453-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 2178 | OK | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 04/06/2026