Tahlequah Hospital Authority

LBN: Northeastern Health System
Tahlequah Hospital Authority is an health care organization with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Northeastern Health System can be contacted via phone (918) 456-0641, or through Woodliff, Brian via phone (918) 456-0641.

Contact Information

Primary practice address
1400 E Downing St Tahlequah OK 74464-3324
Phone: (918) 456-0641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woodliff, Brian
Phone: (918) 456-0641

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 2178 Oklahoma

Profile Details

NPI number 1619031465
LBN Legal business name Northeastern Health System
DBA Doing business as Tahlequah Hospital Authority
Authorized official Woodliff, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 6th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619031465 NPPES
Oklahoma MEDICAID 100700680A

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