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TAHLEQUAH ENT
NPI 1073164125
Clinic/Center - Federally Qualified Health Center (FQHC) in Tahlequah, OK

Active since September 20, 2019CLIA 37D2172608 · Waiver
1203 E ROSS BYP, TAHLEQUAH, OK 74464(918) 453-9002(918) 453-0328 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2020, Sep 20, 2019 (2 updates tracked since 2019).

About Tahlequah Ent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHLEQUAH ENT (NPI 1073164125) is a healthcare organization registered as a federally qualified health center (fqhc) in Tahlequah, Oklahoma and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Scott Rosenthal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073164125
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Location Address1203 E ROSS BYPTahlequah, OK 74464-4133
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 772-2244
Phone(918) 453-9002
Fax(918) 453-0328
Organization SubpartNo
Authorized OfficialScott RosenthalCeo · (918) 772-3390
Enumeration DateSeptember 20, 2019
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1073164125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1203 E ROSS BYP, Tahlequah, OK 74464
Open in Google Maps ↗

Other Names 1

Doing Business AsTahlequah Ent

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2172608

Tahlequah Ent · Tahlequah, OK
Active · expires Sep 24, 2027
CLIA Number37D2172608
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorKenneth Gibson
Laboratory Phone(918) 453-1234
Laboratory LocationTahlequah Ent1203 E Ross St, Tahlequah, OK 74464
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANDREA D MITCHELL PA C
Physician Assistant
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
SEAN M SCEARCE PA
Physician Assistant (Medical)
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
SUSAN K ANDERSON DO
Otolaryngology
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
LEA SARAH HUMPHREY D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1203 E ROSS BYP
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
CMG FAMILY CLINIC LLC
Family Medicine
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
MRS. MADYSON BLAIR SNOW APRN-CNP
Nurse Practitioner (Family)
1203 E ROSS BYP
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
LORI LYN ENLOW NURSE PRACTITIONER
Nurse Practitioner
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234
CATHY LOUISE WELCH PA-C
Physician Assistant
1203 E ROSS BYP, SUITE A
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1234

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 1073164125. It was assigned to this organization in the NPPES registry on September 20, 2019. The provider is doing business as Tahlequah Ent.

Where is Northeastern Oklahoma Community Health Centers, Inc. located?

Northeastern Oklahoma Community Health Centers, Inc. is located at 1203 E Ross Byp, Tahlequah, OK 74464. The listed phone number is (918) 453-9002.

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.

Does Northeastern Oklahoma Community Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2172608) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeastern Oklahoma Community Health Centers, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 June 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.