Organization
NORTHEASTERN HEALTH SYSTEM
Active
Parent organization
NORTHEASTERN HEALTH SYSTEM
Other names
Northeastern Health System Swingbed
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEASTERN HEALTH SYSTEM
Authorized official
JAMES THEODORE BERRY (EVP/HOSPITAL ADMINISTRATOR)
(918) 453-2263
Entity
Organization
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 772-4505
Mailing address
PO BOX 1008, TAHLEQUAH, OK 74465-1008
(918) 458-2457
(918) 772-4505
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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