NORTHEASTERN HEALTH SYSTEM is a medicare defined swing bed unit in Tahlequah, OK. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. NORTHEASTERN HEALTH SYSTEM NPI is 1104567791. The provider is registered as an organization entity type.
The provider's business location address is:
1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464-324
Phone: (918) 456-0641
Fax: (918) 772-4505
The provider's authorized official is James Theodore Berry .
The authorized official title is Evp/hospital Administrator and has the following contact phone number (918) 453-2263.
The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.