Organization
NORTHEASTERN TRIBAL HEALTH SYSTEM
Active
Other names
Northeastern Tribal Health System
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LEE OLSEN AUTHORIZED OFFICIAL (ADMINISTRATIVE OFFICER)
(918) 322-4433
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
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700600D
—
OK
Enumeration date
07/02/2006
Last updated
04/07/2025
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