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NORTHEASTERN TRIBAL HEALTH SYSTEM
NPI 1639267065
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Miami, OK

Active since October 11, 2006CLIA Certified · 3 labs
7600 S HIGHWAY 69A, MIAMI, OK 74354(918) 542-1655(918) 540-1685 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeastern Tribal Health System NPPES

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

NORTHEASTERN TRIBAL HEALTH SYSTEM (NPI 1639267065) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Miami, Oklahoma and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Sharon Dawes, Health Program Director, as its authorized official.

NPPES Registry Identity

NPI1639267065
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameNORTHEASTERN TRIBAL HEALTH SYSTEM
Location Address7600 S HIGHWAY 69AMiami, OK 74354-1016
Mailing AddressPo Box 1498Miami, OK 74355-1498 · (918) 542-1655 · Fax (918) 540-1685
Phone(918) 542-1655
Fax(918) 540-1685
Organization SubpartYes
Authorized OfficialSharon DawesHealth Program Director · (918) 542-1655
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 19, 2012
✔ NPI 1639267065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in OK · 21-4318
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
7600 S HIGHWAY 69A, Miami, OK 74354
Open in Google Maps ↗

Other Identifiers 1

Medicaid100700600BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2306553

Northeastern Tribal Health System · Miami, OK
Active · expires Jun 19, 2028
CLIA Number37D2306553
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorJames C. Eaton
Laboratory Phone(918) 332-4422
Laboratory LocationNortheastern Tribal Health System7600 S Hwy 69A, Miami, OK 74354
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 37D0668131

Northeastern Tribal Health System · Miami, OK
Active · expires Apr 29, 2028
CLIA Number37D0668131
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorDr. Jennifer O'dell
Laboratory Phone(918) 332-4338
Laboratory LocationNortheastern Tribal Health System7600 S Hwy 69A, Miami, OK 74354
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 37D1053573

Northeastern Tribal Health Center Pharmacy · Miami, OK
Active · expires Apr 26, 2028
CLIA Number37D1053573
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorGary Elam
Laboratory Phone(918) 542-1741
Laboratory LocationNortheastern Tribal Health Center Pharmacy7600 South Highway 69A, Miami, OK 74354
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

TONYA LYNN OLSEN RN
Registered Nurse
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
MRS. KARA JEAN KINSEY P.T.
Physical Therapist
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 332-4398
LANCE DALE LITTLEJOHN
Case Manager/Care Coordinator
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
MR. EVERETT EMORY MITCHELL LPC
Counselor (Mental Health)
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 332-4390
CHANNA LEE MORTON REGISTERED DIETICIAN
Dietitian, Registered
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
KIMBERLEE ANN CHUCULATE
Respiratory Therapist, Registered (General Care)
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
KYLEE GRAHAM RN
Registered Nurse
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
JESSICA ROSS DENTAL HYGIENIST
Dental Hygienist
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655

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 Tribal Health System's NPI number?

The NPI number for Northeastern Tribal Health System is 1639267065. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Northeastern Tribal Health System located?

Northeastern Tribal Health System is located at 7600 S Highway 69A, Miami, OK 74354. The listed phone number is (918) 542-1655.

What is Northeastern Tribal Health System's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Does Northeastern Tribal Health System hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeastern Tribal Health System accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 46 other insurers list Northeastern Tribal 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 Tribal Health System was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.