Organization
NORTHEASTERN HEALTH SYSTEM
Active
Other names
Fort Gibson Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WARD (CFO)
(918) 453-2120
Entity
Organization
Contact information
Practice address
104 LONE OAK CIR, FORT GIBSON, OK 74434-5001
(918) 478-2101
(918) 478-6008
Mailing address
PO BOX 500, TAHLEQUAH, OK 74465-0500
(918) 478-2101
(918) 478-6008
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
04/06/2026
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