TAHLEQUAH ENT
NPI 1073164125
Clinic/Center - Federally Qualified Health Center (FQHC) in Tahlequah, OK
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahlequah Ent is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Tahlequah Ent, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 34 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.
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, OKFrequently 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.
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.
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, 1 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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 June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tahlequah Ent · NPI 1073164125
Federally Qualified Health Center (FQHC) organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since September 20, 2019.
## Identity
- **NPI:** 1073164125 (Entity type: Organization)
- **Enumerated:** September 20, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northeastern Oklahoma Community Health Centers, Inc.
- **Organization subpart:** No
- **Authorized official:** Scott Rosenthal, CEO
## Practice location
- **Address:** 1203 E ROSS BYP, Tahlequah, OK 74464-4133
- **Phone:** (918) 453-9002 · **Fax:** (918) 453-0328
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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); 1 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1073164125/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073164125) · Data from the CMS NPPES public registry.