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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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