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NORTHEASTERN HEALTH SYSTEM 1104567791

Overview
Name: NORTHEASTERN HEALTH SYSTEM Specialty: Medicare Defined Swing Bed Hospital Unit Type of Practice: Organization Provider/Org: NORTHEASTERN HEALTH SYSTEM Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Hospital Units Classification: Medicare Defined Swing Bed Unit Specialization: . Definition of Specialty: 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.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: NORTHEASTERN HEALTH SYSTEM,1400 E DOWNING ST,TAHLEQUAH,OK,744643324,US Mailing Address: NORTHEASTERN HEALTH SYSTEM,PO BOX 1008,TAHLEQUAH,OK,744651008,US
Contact #
Practice location phone #: 9184560641 Practice location fax #: 9187724505 Mailing address Phone #: 9184582457 Mailing Address fax #: 9187724505 Authorized official Name/Telephone #:JAMES, THEODORE, BERRY, EVP/HOSPITAL ADMINISTRATOR 9184532263
Misc
Date NPI was obtained: 04/06/2022 Last data data was updated: 04/06/2022 Insurances:

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