Organization
NORTHEASTERN HEALTH SYSTEM
Active
Other names
TAHLEQUAH HOSPITAL AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BERRY (CEO)
(918) 456-0641
Entity
Organization
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 453-2341
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 453-2341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2178
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700680D
—
OK
Enumeration date
04/11/2007
Last updated
05/13/2026
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