TAHLEQUAH CITY HOSPITAL
NPI 1083947378
General Practice in Tahlequah, OK

NPI Status: Active since September 17, 2009

Contact Information

1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 456-0641
Fax: (918) 453-2341

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  • Organization
  • General Practice
  • Accepts Insurance
  • CLIA Number: 37D2111517
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 04-07-2026

About TAHLEQUAH CITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Tahlequah City Hospital, a primary care provider established in Tahlequah, Oklahoma operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1083947378 assigned on September 2009. The practitioner's primary taxonomy code is 208D00000X with license number 2178 (OK). The provider is registered as an organization and their NPI record was last updated April 2026. Tahlequah City Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is James Theodore Berry (Ceo)

NPI
1083947378
Provider Legal Name
TAHLEQUAH CITY HOSPITAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1400 E DOWNING ST TAHLEQUAH, OK 74464
Location Phone
(918) 456-0641
Location Fax
(918) 453-2341
Mailing Address
PO BOX 1008 TAHLEQUAH, OK 74465
Mailing Phone
(918) 456-0641
Mailing Fax
(918) 453-2341
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-17-2009
Last Update Date
04-06-2026
Code Navigator

A primary care provider (PCP) like Tahlequah City Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
2178
License State
OK
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES THEODORE BERRY

Authorized Official Title
CEO
Authorized Official Phone
(918) 453-2263

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2111517
Facility Type
Rural Health Clinic
Certificate Effective Date
April 08, 2024
Certificate Expiration Date
April 07, 2026
Laboratory Director
THOMAS SCHNEIDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tahlequah City Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TAHLEQUAH CITY HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083947378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 4 + 1 + 4 + 3 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1083947378.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Anesthesiology
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Surgery
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Pharmacist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Radiology (Diagnostic Radiology)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physical Therapist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physical Therapy Assistant
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center (Oncology, Radiation)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Family Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Family Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Speech-Language Pathologist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Speech-Language Pathologist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center (Oncology, Radiation)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Practitioner (Family)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center
1400 E DOWNING ST
TAHLEQUAH, OK 74464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083947378, enumerated as an "organization" on September 17, 2009.

The provider is located at 1400 E DOWNING ST TAHLEQUAH, OK 74464 and the phone number is (918) 456-0641.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.