NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC (NPI# 1821390402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821390402 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | NEOHEALTH |
| Practice Address |
761 Buffington Rd Westville OK 74965-9433 |
| Mailing Address |
Po Box 751 Hulbert OK 74441-0751 |
| Practice Telephone | 9187233997 |
| Practice Fax Number | 9187233889 |
| Mailing Telephone | 9187723390 |
| Mailing Fax Number | 9187722244 |
| Enumeration Date | 2010-12-02 |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200006960I | 05 |
| Other Name | Type Code |
|---|---|
| NeoHealth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942553946 | Northeastern Oklahoma Community Health Centers, Inc | Clinic/Center | 1328 S York, Muskogee, OK 74403-7650 | 2012-10-16 |
| 1366744534 | Northeastern Oklahoma Community Health Centers, Inc | Clinic/Center | 1500 E Downing St, Suite 214, Tahlequah, OK 74464-3379 | 2010-11-22 |
| 1184926362 | Northeastern Oklahoma Community Health Centers, Inc | Clinic/Center | 1500 E Downing St, Suite 208, Tahlequah, OK 74464-3234 | 2010-11-22 |
| 1891097077 | Northeastern Oklahoma Community Health Centers, Inc | Clinic/Center | 1500 E Downing St Ste 102, Tahlequah, OK 74464-3354 | 2010-11-22 |
| Street Address |
761 BUFFINGTON RD |
| City | WESTVILLE |
| State | OK |
| Zip Code | 74965-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831140383 | Fredric A West | Physician Assistant | 761 Buffington Rd, Westville, OK 74965-7011 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348522 | Pain Management of Westville | Anesthesiology | 419 S Williams Avenue, Westville, OK 74965 | 2019-04-17 |
| 1689176398 | Molly Elizabeth Murphey | Nurse Practitioner | 605 Buffington Rd, Westville, OK 74965 | 2018-03-08 |
| 1639688237 | Twila W Coates | Case Manager/Care Coordinator | 1000 Taft Street, Westville, OK 74965 | 2017-09-26 |
| 1487195376 | Pam Thurber | Technician, Other | 500 N Chincapin, Westville, OK 74965 | 2017-03-13 |
| 1134577570 | Misty Brown | Technician, Other | 500 West Chincapin, Westville, OK 74965 | 2016-05-26 |
| 1073960738 | Melanie Green | Technician, Other | 500 W Chincapin, Westville, OK 74965 | 2016-05-23 |
| 1497102149 | Dalaina Kristin Smart | Technician, Other | 500 W. Chincapin St., Westville, OK 74965 | 2016-05-23 |
| 1720349327 | Jennie Pruitt | Counselor | 747 Highway 59 Ste 4, Westville, OK 74965 | 2012-05-31 |
| 1306168844 | Amy Rusk | Counselor | 747 Hwy 59 #4, Westville, OK 74965 | 2010-02-25 |
| 1043493992 | Community Physicians Group | Family Medicine | 419 S Williams, Westville, OK 74965 | 2007-12-14 |
| Find all providers in zip 74965 | ||||
| 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 |
|---|---|---|---|---|
| 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.