Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Active
Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Active
Other names
NeoHealth Muskogee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization
Contact information
Practice address
922 N YORK ST, MUSKOGEE, OK 74403-3137
(918) 683-0470
(918) 683-0475
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
01
—
1518070481
GROUP NPI
OK
Enumeration date
10/16/2012
Last updated
12/04/2023
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