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Export Provider Record NPI 1073164125
Northeastern Oklahoma Community Health Centers, Inc.
Organization Subpart: NO
Active
NPI Number1073164125
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1073164125
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-09-20
Last Updated2020-06-09
Authorized OfficialScott Rosenthal
CEO
Phone: 9187723390
Mailing AddressPo Box 751
Hulbert, OK 74441-0751
United States
Phone: (918) 772-3390 | Fax: (918) 772-2244
📍 View Map
Primary Practice Address1203 E Ross Byp
Tahlequah, OK 74464-4133
United States
Phone: (918) 453-9002 | Fax: (918) 453-0328
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)
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About NPI 1073164125

Northeastern Oklahoma Community Health Centers, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1073164125. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Tahlequah, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073164125?

NPI 1073164125 belongs to Northeastern Oklahoma Community Health Centers, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Tahlequah, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073164125 active?

The current status of NPI 1073164125 in the NPPES registry is Active. The record was last updated on 2020-06-09.

What specialty is NPI 1073164125?

NPI 1073164125 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073164125?

You can verify NPI 1073164125 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073164125?

The primary practice address on file for NPI 1073164125 is 1203 E Ross Byp, Tahlequah, OK 74464-4133. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073164125 issued?

NPI 1073164125 was first issued (enumerated) on 2019-09-20. The NPPES record was last updated on 2020-06-09.

Practice Location Map

Northeastern Oklahoma Community Health Centers, Inc. is located at 1203 E Ross Byp, Tahlequah, OK. Use the map below to find directions or verify the practice location.

📍 1203 E Ross Byp, Tahlequah, OK 74464-4133  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Northeastern Oklahoma Community Health Centers, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162