NORTHEASTERN HEALTH SYSTEM NPI 1013458652

NPI Information

NPI: 1013458652
Provider Name: NORTHEASTERN HEALTH SYSTEM

Doing Business As: FORT GIBSON MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
104 LONE OAK CIR
FORT GIBSON, OK
ZIP 74434
Phone: (918) 478-2101
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NORTHEASTERN HEALTH SYSTEM is a rural health clinic center in Fort Gibson, OK. NORTHEASTERN HEALTH SYSTEM NPI is 1013458652. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Gibson Medical Clinic.

The provider's business location address is:

104 LONE OAK CIR
FORT GIBSON, OK
ZIP 74434-001
Phone: (918) 478-2101
Fax: (918) 478-6008

The provider's authorized official is Julie Ward .
The authorized official title is Cfo and has the following contact phone number (918) 453-2120.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 5/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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