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

NPI Status: Active since April 06, 2022

Contact Information

1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 456-0641
Fax: (918) 772-4505

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About NORTHEASTERN HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Northeastern Health System, a provider established in Tahlequah, Oklahoma operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1104567791 assigned on April 2022. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is James Theodore Berry (Evp/hospital Administrator)

NPI
1104567791
Provider Name
NORTHEASTERN HEALTH SYSTEM
Entity Type
Organization
Location Address
1400 E DOWNING ST TAHLEQUAH, OK 74464
Location Phone
(918) 456-0641
Location Fax
(918) 772-4505
Mailing Address
PO BOX 1008 TAHLEQUAH, OK 74465
Mailing Phone
(918) 458-2457
Mailing Fax
(918) 772-4505
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2022
Last Update Date
04-06-2022
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
Taxonomy Description
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.

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
EVP/HOSPITAL ADMINISTRATOR
Authorized Official Phone
(918) 453-2263

Reviews for NORTHEASTERN HEALTH SYSTEM

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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 1104567791, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 0 → 0 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 0 + 6 + 1 + 4 + 7 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104567791.

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
Psychiatric Unit
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Rehabilitation Unit
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Emergency Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Ambulance (Land Transport)
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104567791, enumerated as an "organization" on April 06, 2022.

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

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

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