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NORTHEASTERN HEALTH SYSTEM
NPI 1306387949
Clinic/Center - Rural Health in Tahlequah, OK

Active since March 15, 2017
1201 E ROSS BYP, TAHLEQUAH, OK 74464(918) 207-0991(918) 456-7570 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, May 18, 2017, Mar 15, 2017 (3 updates tracked since 2017).

About Northeastern Health System NPPES

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

NORTHEASTERN HEALTH SYSTEM (NPI 1306387949), doing business as Tahlequah Medical Group Primary Care, is a healthcare organization registered as a rural health in Tahlequah, Oklahoma and active in the NPI registry since March 2017. The organization lists Julie Ward, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306387949
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTHEASTERN HEALTH SYSTEM
Location Address1201 E ROSS BYPTahlequah, OK 74464-4188
Mailing AddressPo Box 500Tahlequah, OK 74465-0500 · (918) 207-0991 · Fax (918) 456-7570
Phone(918) 207-0991
Fax(918) 456-7570
Organization SubpartNo
Authorized OfficialJulie WardCfo · (918) 453-2120
Enumeration DateMarch 15, 2017
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1306387949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1201 E ROSS BYP, Tahlequah, OK 74464
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Other Names 1

Doing Business AsTahlequah Medical Group Primary Care

Other Providers at the Same Location NPPES 2

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

STEPHANIE NICOLE LECRONE APRN
Nurse Practitioner (Family)
1201 E ROSS BYP
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0991
SHERI D CHRISTIAN-ARMSTRONG DO
Internal Medicine
1201 E ROSS BYP
TAHLEQUAH, OK 74464
Cherokee County (918) 456-2575

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 1306387949. It was assigned to this organization in the NPPES registry on March 15, 2017. The provider is doing business as Tahlequah Medical Group Primary Care.

Where is Northeastern Health System located?

Northeastern Health System is located at 1201 E Ross Byp, Tahlequah, OK 74464. The listed phone number is (918) 207-0991.

What is Northeastern Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Northeastern Health System was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.