NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
NPI 1063188878
Clinic/Center - Federally Qualified Health Center (FQHC) in Tahlequah, OK
About Northeastern Oklahoma Community Health Centers, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. (NPI 1063188878), doing business as Tahlequah Primary Care, is a healthcare organization registered as a federally qualified health center (fqhc) in Tahlequah, Oklahoma and active in the NPI registry since August 2021. The organization lists Scott Rosenthal, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeastern Oklahoma Community Health Centers, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Northeastern Oklahoma Community Health Centers, Inc., which bills Medicare for the services they deliver. Of these, 20 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 64Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Northeastern Oklahoma Community Health Centers, Inc.'s NPI number?
The NPI number for Northeastern Oklahoma Community Health Centers, Inc. is 1063188878. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Tahlequah Primary Care.
Where is Northeastern Oklahoma Community Health Centers, Inc. located?
Northeastern Oklahoma Community Health Centers, Inc. is located at 1500 E Downing St Ste 103, Tahlequah, OK 74464. The listed phone number is (918) 708-3580.
What is Northeastern Oklahoma Community Health Centers, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Northeastern Oklahoma Community Health Centers, Inc. enrolled in Medicare?
Yes. Northeastern Oklahoma Community Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
When is Northeastern Oklahoma Community Health Centers, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oklahoma, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northeastern Oklahoma Community Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 12 Medicare specialties reassign their Medicare billing to Northeastern Oklahoma Community Health Centers, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Obstetrics/Gynecology (11) and Family Practice (9). Of these, 20 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeastern Oklahoma Community Health Centers, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Northeastern Oklahoma Community Health Centers, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Northeastern Oklahoma Community Health Centers, Inc. was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northeastern Oklahoma Community Health Centers, Inc. · NPI 1063188878
Federally Qualified Health Center (FQHC) organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since August 20, 2021.
## Identity
- **NPI:** 1063188878 (Entity type: Organization)
- **Enumerated:** August 20, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Tahlequah Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Scott Rosenthal, CEO
## Practice location
- **Address:** 1500 E DOWNING ST STE 103, Tahlequah, OK 74464-3354
- **Phone:** (918) 708-3580 · **Fax:** (918) 506-6041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Oklahoma, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 64 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Obstetrics/Gynecology (11), Family Practice (9); 20 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1063188878/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063188878) · Data from the CMS NPPES public registry.