Organization
NORTHEASTERN TRIBAL HEALTH SYSTEM
Active
Parent organization
NORTHEASTERN TRIBAL HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEASTERN TRIBAL HEALTH SYSTEM
Authorized official
SHARON DAWES (HEALTH PROGRAM DIRECTOR)
(918) 542-1655
Entity
Organization
Contact information
Practice address
7600 S HIGHWAY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 540-1685
Mailing address
PO BOX 1498, MIAMI, OK 74355-1498
(918) 542-1655
(918) 540-1685
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
21-4318
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700600B
—
OK
Enumeration date
10/11/2006
Last updated
12/19/2012
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