1003865999 NORTHEASTERN HEALTH SYSTEM

General Acute Care Hospital

Active

Basic Information

Organization Name
NORTHEASTERN HEALTH SYSTEM
Enumeration Date
May 8, 2006
Last Update
February 28, 2025
Authorized Official
MR. BRIAN WOODLIFF
CEO
Phone: (918) 456-0641

Practice Location

Address
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
Phone
(918) 456-0641
Fax
(918) 456-8886

Mailing Address

Address
1400 E DOWNING ST
PO BOX 1008
TAHLEQUAH, OK 744643324
Phone
(918) 456-0641
Fax
(918) 456-8886

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emergency Medicine Physician
207P00000X Emergency Medicine 2178 OK No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies 2178 OK No
General Acute Care Hospital
282N00000X General Acute Care Hospital 2178 OK Primary

Other Identifiers

Identifier Type State Issuer
000370089001 01 OK BCBS
100700680A 05 OK N/A

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2

Affiliation: Ability Network

Frequently Asked Questions

What is NORTHEASTERN HEALTH SYSTEM's NPI number?
NORTHEASTERN HEALTH SYSTEM's NPI number is 1003865999.
Which doctor has NPI number 1003865999?
The doctor with NPI number 1003865999 is NORTHEASTERN HEALTH SYSTEM.
What is NORTHEASTERN HEALTH SYSTEM's practice address?
NORTHEASTERN HEALTH SYSTEM's practice address is 1400 E DOWNING ST, TAHLEQUAH, OK, 744643324.
Which doctor practices at 1400 E DOWNING ST, TAHLEQUAH, OK, 744643324?
NORTHEASTERN HEALTH SYSTEM practices at 1400 E DOWNING ST, TAHLEQUAH, OK, 744643324.
What is NORTHEASTERN HEALTH SYSTEM's phone number?
NORTHEASTERN HEALTH SYSTEM's phone number is (918) 456-0641.
Who is (918) 456-0641?
(918) 456-0641 is the phone number for NORTHEASTERN HEALTH SYSTEM.
What is NORTHEASTERN HEALTH SYSTEM's specialty?
NORTHEASTERN HEALTH SYSTEM's specialty is General Acute Care Hospital.
What type of doctor is NORTHEASTERN HEALTH SYSTEM?
NORTHEASTERN HEALTH SYSTEM is a General Acute Care Hospital.
Is NORTHEASTERN HEALTH SYSTEM a General Acute Care Hospital?
Yes, NORTHEASTERN HEALTH SYSTEM is a General Acute Care Hospital.
Is NORTHEASTERN HEALTH SYSTEM still practicing?
Yes, NORTHEASTERN HEALTH SYSTEM is currently practicing.
Is NORTHEASTERN HEALTH SYSTEM accepting new patients?
NORTHEASTERN HEALTH SYSTEM may be accepting new patients. Please call their office at (918) 456-0641 to inquire about availability.
Is NPI 1003865999 still active?
Yes, NPI 1003865999 is currently active.
Where does NORTHEASTERN HEALTH SYSTEM practice?
NORTHEASTERN HEALTH SYSTEM practices in TAHLEQUAH, OK.