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Northeastern Health System
Rural Health Clinic/Center in Fort Gibson, Oklahoma
NPI 1013458652

Northeastern Health System is a Rural Health Clinic/Center based in Tahlequah, OK and is specialized in Rural Health. Northeastern Health System practices in Fort Gibson, OK. The NPI Number for Northeastern Health System is 1013458652 and holds a License No. (Oklahoma).

The current practice location address for Northeastern Health System is 104 Lone Oak Cir, Fort Gibson, OK and can be reached out via phone at 918-478-2101 and via fax at 918-478-6008.

Location: 104 Lone Oak Cir, Fort Gibson, OK, 74465-0500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013458652
Provider Name
Northeastern Health System
Credential
Provider Entity Type
Organization
Address
104 Lone Oak Cir, Fort Gibson, OK, 74465-0500
Phone Number
918-478-2101
Fax Number
918-478-6008
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Lone Oak Cir
City
Fort Gibson
State
Oklahoma
Zip
74434-5001
Phone Number
918-478-2101
Fax Number
918-478-6008
person
Provider Business Mailing Address Details
Address
104 Lone Oak Cir
City
Fort Gibson
State
Oklahoma
Zip
74434-5001
Phone Number
918-478-2101
Fax Number
918-478-6008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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