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KEETOOWAH HEALTHCARE SERVICES, LLC
NPI 1417802224
Family Medicine in Tahlequah, OK

Active since February 27, 2026
16414 W 760 RD, TAHLEQUAH, OK 74464(918) 525-9595(918) 525-9590 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keetoowah Healthcare Services, Llc NPPES

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

KEETOOWAH HEALTHCARE SERVICES, LLC (NPI 1417802224) is a healthcare organization registered as a family medicine in Tahlequah, Oklahoma and active in the NPI registry since February 2026. The organization lists Fredo Anderson, Executive, as its authorized official.

NPPES Registry Identity

NPI1417802224
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEETOOWAH HEALTHCARE SERVICES, LLC
Location Address16414 W 760 RDTahlequah, OK 74464-1675
Mailing AddressPo Box 1245Tahlequah, OK 74465-1245 · (918) 525-9595 · Fax (918) 525-9590
Phone(918) 525-9595
Fax(918) 525-9590
Organization SubpartNo
Authorized OfficialFredo AndersonExecutive · (918) 395-6699
Enumeration DateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1417802224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16414 W 760 RD, Tahlequah, OK 74464
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

CARLA CROW
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
JEROMY MICHAEL KLINGER MS
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 537-4482
TIMOTHY WAYNE FOREMAN
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
BRITTANY CHEATER
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
ANGEL LEA WOLFE
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9099
SARA KAY PERRY LMSW
Social Worker (Clinical)
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
HEATHER ANNE JONES DO
Psychiatry & Neurology (Psychiatry)
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 561-8428
ECHOTA BEHAVIORAL HEALTH SERVICES, LLC
Community/Behavioral Health
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 871-2795

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 Keetoowah Healthcare Services, LLC's NPI number?

The NPI number for Keetoowah Healthcare Services, LLC is 1417802224. It was assigned to this organization in the NPPES registry on February 27, 2026.

Where is Keetoowah Healthcare Services, LLC located?

Keetoowah Healthcare Services, LLC is located at 16414 W 760 Rd, Tahlequah, OK 74464. The listed phone number is (918) 525-9595.

What is Keetoowah Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Keetoowah Healthcare Services, LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.