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Organization

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.

Active
Other names
Tahlequah Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization

Contact information

Practice address
1500 E DOWNING ST, SUITE 101, TAHLEQUAH, OK 74464-3234
(918) 708-3570
(918) 453-2772
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-3638

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/03/2016
Last updated
06/09/2020
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