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Northeastern Health System

Emergency Medicine in Tahlequah, OK. Organization (NPI-2).

NPI number1457574170
StatusActive
Last updated in NPPESMay 13, 2026

Details

NPI
1457574170
Entity type
Organization (NPI-2)
Legal business name
Northeastern Health System
Organization subpart
No
Enumeration date
Apr 11, 2007
Certification date
May 13, 2026
Last updated
May 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine2178OKYes

Other names

  • Tahlequah Hospital Authority (Former Legal Business Name)

Practice location

1400 E Downing St
Tahlequah, OK 74464-3324

Phone 918-456-0641 · Fax 918-453-2341

Mailing address

1400 E Downing St
Tahlequah, OK 74464-3324

Phone 918-456-0641 · Fax 918-453-2341

Authorized official

James Berry
Ceo
9184560641

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