Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHEASTERN HEALTH SYSTEM
NPI 1366983850
Clinic/Center - Rural Health in Tahlequah, OK

Q: What is Northeastern Health System's NPI number?

The NPI number for Northeastern Health System is 1366983850. It was assigned to this organization in the NPPES registry on March 16, 2017. The provider is doing business as Eastside Medical Clinic and Urgent Care.

Q: 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.

Active since March 16, 2017

22408 OK 51, TAHLEQUAH, OK 74464(918) 453-1234(918) 453-2703 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jun 1, 2026, Nov 24, 2025 and 2 more (5 updates tracked since 2017).

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About Northeastern Health System NPPES

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

NORTHEASTERN HEALTH SYSTEM (NPI 1366983850), doing business as Eastside Medical Clinic, is a healthcare organization registered as a rural health in Tahlequah, Oklahoma and active in the NPI registry since March 2017. The organization lists Jackie Hullinger, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1366983850

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameNORTHEASTERN HEALTH SYSTEM

Location Address22408 OK 51Tahlequah, OK 74464-4158

Mailing Address1400 E Downing StTahlequah, OK 74464-3324 · (918) 453-1234 · Fax (918) 453-2703

Phone(918) 453-1234

Fax(918) 453-2703

Organization SubpartNo

Authorized OfficialJackie HullingerVp Of Revenue Cycle · (918) 458-2417

Enumeration DateMarch 16, 2017

Last NPPES UpdateSeptember 3, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1366983850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

22408 OK 51, Tahlequah, OK 74464

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Other Names 2

Doing Business AsEastside Medical Clinic

Doing Business AsUrgent Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare.Insurance ›

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 1366983850. It was assigned to this organization in the NPPES registry on March 16, 2017. The provider is doing business as Eastside Medical Clinic and Urgent Care.

Where is Northeastern Health System located?

Northeastern Health System is located at 22408 Ok 51, Tahlequah, OK 74464. The listed phone number is (918) 453-1234.

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.

What insurance does Northeastern Health System accept?

Health plans from CommunityCare 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 September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.