Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Active
Other names
Tahlequah ENT
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization
Contact information
Practice address
1203 E ROSS BYP, TAHLEQUAH, OK 74464-4133
(918) 453-9002
(918) 453-0328
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-2244
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
06/09/2020
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