Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Active
Other names
NeoHealth
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization
Contact information
Practice address
1779 BUFFINGTON RD, WESTVILLE, OK 74965-7353
(918) 723-3997
(918) 723-3889
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006960I
—
OK
Enumeration date
12/02/2010
Last updated
12/04/2023
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