NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC (NPI# 1518070481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518070481 |
Entity Type | Organization |
Organization Name | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC |
Other Organization Name | HULBERT HEALTH CENTER |
Practice Address |
124 E Main St Hulbert OK 74441-8902 |
Mailing Address |
Po Box 751 Hulbert OK 74441-0751 |
Practice Telephone | 9187722879 |
Practice Fax Number | 9187721233 |
Mailing Telephone | 9187723390 |
Mailing Fax Number | 9187722244 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-06-09 |
Authorized Official Name | SCOTT ROSENTHAL (CEO) |
Authorized Official Telephone | 9187723390 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0612740 | OK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200006960H | 05 | |
OK | 200006960E | 05 | |
OK | 200006960I | 05 | |
OK | 200006960A | 05 |
Other Name | Type Code |
---|---|
Hulbert Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376513002 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 1310 E Boone St, Tahlequah, OK 74464-3338 | 2006-01-25 |
1972597680 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 124 E Main St, Hulbert, OK 74441-8902 | 2005-09-08 |
1407145121 | Northeastern Oklahoma Community Health Centers Inc | Pharmacy | 131 E Main St, Hulbert, OK 74441-8901 | 2011-04-04 |
Street Address |
124 E MAIN ST |
City | HULBERT |
State | OK |
Zip Code | 74441-8902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972597680 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 124 E Main St, Hulbert, OK 74441-8902 | 2005-09-08 |
1316455504 | Deborah Davis | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2018-01-22 |
1134428592 | Kathy May Ritchie | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2011-03-23 |
1134312937 | Daphany Maricia Parker | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2007-08-24 |
1245241413 | Kenneth Wayne Gibson | Family Medicine | 124 E Main St, Hulbert, OK 74441-8902 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073153037 | Nusbah Cook | Technician | 3538 Highway 51, Hulbert, OK 74441 | 2020-01-08 |
1356532022 | Brian Eugene Cookson | Family Medicine | 26251 Hwy 82 Suite 1, Park Hill, OK 74441 | 2007-08-07 |
1356546196 | Cindy L Rogers | Specialist | 8539 Hwy 82, Hulbert, OK 74441 | 2007-06-20 |
1154423184 | Robert M Hurd Jr. | Pharmacist | 4039 W Banana Cove Rd, Hulbert, OK 74441 | 2006-09-01 |
1912447608 | Amanda Berg | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74441 | 2017-03-01 |
1952452005 | Hulbert Public Schools | Public Health or Welfare | 316 S. Rider, Hulbert, OK 74441-0188 | 2007-01-16 |
1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
1730681917 | Cheryl Huebner | Peer Specialist | 16192 N Meadowlark Ln, Hulbert, OK 74441-2108 | 2018-03-05 |
1700382215 | Karen Lynette Stopp | Peer Specialist | 9220 W 760 Rd, Hulbert, OK 74441-2607 | 2018-04-03 |
1003345869 | Shalah Larae Thompson | Counselor | 11486 Highway 51, Hulbert, OK 74441-2648 | 2017-06-06 |
Find all providers in zip 74441 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972597680 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 124 E Main St, Hulbert, OK 74441-8902 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.