NORTHEASTERN HEALTH SYSTEM
NPI 1871717819
Ambulance - Land Transport in Tahlequah, OK
About Northeastern Health System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEASTERN HEALTH SYSTEM (NPI 1871717819), doing business as Tahlequah Hospital Authority, is a healthcare organization registered as a land transport in Tahlequah, Oklahoma and active in the NPI registry since April 2007. The organization lists Brian Woodliff, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeastern Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
157Medicare enrollment records show 157 clinicians reassign Medicare billing to Northeastern Health System, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 157Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1871717819. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider was formerly known as Tahlequah Hospital Authority.
Where is Northeastern Health System located?
Northeastern Health System is located at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.
What is Northeastern Health System's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is Northeastern Health System enrolled in Medicare?
Yes. Northeastern Health System is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeastern Health System?
According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 27 Medicare specialties reassign their Medicare billing to Northeastern Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (32), Nurse Practitioner (27) and Internal Medicine (19). Of these, 7 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeastern Health System accept?
Health plans from Blue Cross and Blue Shield of Oklahoma 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 April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Northeastern Health System · NPI 1871717819
Land Transport organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1871717819 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Also known as:** TAHLEQUAH HOSPITAL AUTHORITY (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Brian Woodliff, CEO
## Practice location
- **Address:** 1400 E DOWNING ST, Tahlequah, OK 74464-3324
- **Phone:** (918) 456-0641 · **Fax:** (918) 456-8886
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 157 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (32), Nurse Practitioner (27), Internal Medicine (19); 7 practice at this address and 46 within 10 miles; [full list](https://npiprofile.com/npi/1871717819/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **Other identifiers:** Medicaid 100700680B (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1871717819) · Data from the CMS NPPES public registry.