NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC – Federally Qualified Health Center (FQHC), NPI 1376513002

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Federally Qualified Health Center (FQHC). The NPI Number for NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC is 1376513002

Main info

Organization
Name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
NPI
1376513002
Phone
(918) 456-7700
Address
1310 E BOONE ST
Authorized Official
SCOTT ROSENTHAL CEO
Enumeration Date
25 January 2006
Last Update Date
9 June 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC

  • 1310, East Boone Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744643338

    Phone: (918) 456-7700

    Fax: (918) 458-9314

    Type: Location

  • PO BOX 751

    HULBERT, OK 744410751

    Phone: (918) 772-3390

    Fax: (918) 772-3638

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20181127000826OFederally Qualified Health Center (Fqhc)OK2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74464)

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Reviews

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Frequently asked questions

What is NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC's NPI number?
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC's NPI is 1376513002 — the number used across U.S. healthcare to identify this provider.
Is NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC shown as active in public data?
Registry records indicate NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC maintains an active NPI.
What expertise is attributed to NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC?
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC's specialty line reads Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What locale is associated with NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC?
Directory geography for NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC centers on Tahlequah, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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