Organization
NORTHEASTERN HEALTH SYSTEM
Active
Other names
TAHLEQUAH HOSPITAL AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WOODLIFF CEO (CEO)
(918) 456-0641
Entity
Organization
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 456-8886
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 456-8886
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2178
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700680B
—
OK
Enumeration date
04/12/2007
Last updated
04/06/2026
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