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NORTHEASTERN HEALTH SYSTEM
NPI 1104567791
Medicare Defined Swing Bed Unit in Tahlequah, OK

Active since April 06, 2022
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641(918) 772-4505 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeastern Health System NPPES

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

NORTHEASTERN HEALTH SYSTEM (NPI 1104567791) is a healthcare organization registered as a medicare defined swing bed unit in Tahlequah, Oklahoma and active in the NPI registry since April 2022. The organization lists James Theodore Berry, Evp/hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1104567791
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameNORTHEASTERN HEALTH SYSTEM
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing AddressPo Box 1008Tahlequah, OK 74465-1008 · (918) 458-2457 · Fax (918) 772-4505
Phone(918) 456-0641
Fax(918) 772-4505
Organization SubpartYes
Authorized OfficialJames Theodore BerryEvp/hospital Administrator · (918) 453-2263
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1104567791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

1400 E DOWNING ST, Tahlequah, OK 74464
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Other Names 1

Other NameNortheastern Health System Swingbed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

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

NORTHEASTERN HEALTH SYSTEM
General Acute Care Hospital
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
MIDWEST HOSPITALISTS SERVICES PLLC
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
DR. THOMAS CHILTON FRUITS D.O.
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2406
STUART AUSTIN KOAKAI CANO DO
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
STEPHAN M YOST PA-C
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
TAHLEQUAH CITY HOSPITAL
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
SETH STEWART SCANTLING
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
ROSS P. TURNER D.O.
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641

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 Health System's NPI number?

The NPI number for Northeastern Health System is 1104567791. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is also known as Northeastern Health System Swingbed.

Where is Northeastern Health System located?

Northeastern Health System is located at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is Northeastern Health System's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

What insurance does Northeastern Health System accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Northeastern Health System 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 Health System was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.