NEOHEALTH
NPI 1891097077
Clinic/Center - Federally Qualified Health Center (FQHC) in Tahlequah, OK

Active since November 22, 2010CLIA 37D2105888 · Waiver
1500 E DOWNING ST STE 102, TAHLEQUAH, OK 74464(918) 207-0773(918) 207-0774 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Neohealth NPPES

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

NEOHEALTH (NPI 1891097077) is a healthcare organization registered as a federally qualified health center (fqhc) in Tahlequah, Oklahoma and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Scott Rosenthal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891097077
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Location Address1500 E DOWNING ST STE 102Tahlequah, OK 74464-3354
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 772-2244
Fax(918) 207-0774
Organization SubpartNo
Authorized OfficialScott RosenthalCeo · (918) 772-3390
Enumeration DateNovember 22, 2010
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1891097077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1500 E DOWNING ST STE 102, Tahlequah, OK 74464

Other Names 1

Doing Business AsNeohealth

Other Identifiers 1

Medicaid200006960HOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 37D2105888

Neohealth Pediatrics · Tahlequah, OK
Active · expires Mar 21, 2027
CLIA Number37D2105888
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorKenneth Gibson
Laboratory Phone(918) 772-3390
Laboratory LocationNeohealth Pediatrics1500 East Downing, Ste 102, Tahlequah, OK 74464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pediatrics
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464
Nurse Practitioner (Family)
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464
Registered Nurse (Emergency)
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891097077, enumerated as an "organization" on November 22, 2010.

The provider is located at 1500 E DOWNING ST STE 102 TAHLEQUAH, OK 74464 and the phone number is (918) 207-0773.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.