Northeastern Tribal Health System

LBN: Northeastern Tribal Health System
Northeastern Tribal Health System is an health care organization with primary practice located at 7600 S Highway 69A , Miami OK 74354-1016. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Northeastern Tribal Health System can be contacted via phone (918) 542-1655, or through Dawes, Sharon via phone (918) 542-1655.

Contact Information

Primary practice address
7600 S Highway 69A Miami OK 74354-1016
Phone: (918) 542-1655
Fax: (918) 540-1685
Website:
Map and Directions
Authorized official contact:
Name: Dawes, Sharon
Phone: (918) 542-1655

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 21-4318 Oklahoma

Profile Details

NPI number 1639267065
LBN Legal business name Northeastern Tribal Health System
DBA Doing business as
Authorized official Dawes, Sharon
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2006
Last updated Dec 19th, 2012 - about 14 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 1639267065 NPPES
Oklahoma MEDICAID 100700600B

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