Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
Active
Other names
Hulbert Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization
Contact information
Practice address
124 E MAIN ST, HULBERT, OK 74441-8902
(918) 772-3471
(918) 772-1233
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
—
100172500
MEDICARE PIN
OK
01
—
100522043
MEDICARE GRP
OK
05
—
200006960A
—
OK
05
—
200006960B
—
OK
01
—
300522063
MEDICARE PIN
OK
Enumeration date
09/08/2005
Last updated
06/09/2020
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