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TAHLEQUAH FAMILY PRACTICE
NPI 1972052983
Clinic/Center - Federally Qualified Health Center (FQHC) in Tahlequah, OK

Active since October 03, 2016CLIA Certified · 2 labs
1500 E DOWNING ST, SUITE 101, TAHLEQUAH, OK 74464(918) 708-3570(918) 453-2772 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tahlequah Family Practice NPPES

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

TAHLEQUAH FAMILY PRACTICE (NPI 1972052983) is a healthcare organization registered as a federally qualified health center (fqhc) in Tahlequah, Oklahoma and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Scott Rosenthal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972052983
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Location Address1500 E DOWNING ST, SUITE 101Tahlequah, OK 74464-3234
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 772-3638
Phone(918) 708-3570
Fax(918) 453-2772
Organization SubpartNo
Authorized OfficialScott RosenthalCeo · (918) 772-3390
Enumeration DateOctober 3, 2016
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1972052983 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, Tahlequah, OK 74464
Open in Google Maps ↗

Other Names 1

Doing Business AsTahlequah Family Practice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 37D2121286

Tahlequah Family Practice · Tahlequah, OK
Active · expires Nov 1, 2026
CLIA Number37D2121286
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorKenneth Gibson
Laboratory Phone(918) 708-3570
Laboratory LocationTahlequah Family Practice1500 East Downing Street Ste 101, Tahlequah, OK 74464
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2231866

Tahlequah Primary Care · Tahlequah, OK
Active · expires Aug 5, 2027
CLIA Number37D2231866
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorKenneth Gibson
Laboratory Phone(918) 708-3580
Laboratory LocationTahlequah Primary Care1500 E Downing, Ste 103, Tahlequah, OK 74464
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 17

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

NEOHEALTH OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Obstetrics & Gynecology
1500 E DOWNING ST, SUITE 208
TAHLEQUAH, OK 74464
Cherokee County (918) 456-2496
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E DOWNING ST, SUITE 208
TAHLEQUAH, OK 74464
Cherokee County (918) 456-2496
TMC PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1500 E DOWNING ST, STE 106
TAHLEQUAH, OK 74464
Cherokee County (918) 456-8811
HEALTHCARE DINING SOLUTIONS, INC
Speech-Language Pathologist
1500 E DOWNING ST, STE 102
TAHLEQUAH, OK 74464
Cherokee County (918) 913-9109
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202
MR. HERBERT ROSCOE LITTLETON DO
Internal Medicine
1500 E DOWNING ST, STE 103
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0001
TYE WARD D.O.
Family Medicine
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202
LORIE LILLIAN TRENTHAM APRN, CNP
Nurse Practitioner (Family)
1500 E DOWNING ST, SUITE 214
TAHLEQUAH, OK 74464
Cherokee County (918) 431-0202

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 Oklahoma Community Health Centers, Inc.'s NPI number?

The NPI number for Northeastern Oklahoma Community Health Centers, Inc. is 1972052983. It was assigned to this organization in the NPPES registry on October 3, 2016. The provider is doing business as Tahlequah Family Practice.

Where is Northeastern Oklahoma Community Health Centers, Inc. located?

Northeastern Oklahoma Community Health Centers, Inc. is located at 1500 E Downing St Suite 101, Tahlequah, OK 74464. The listed phone number is (918) 708-3570.

What is Northeastern Oklahoma Community Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northeastern Oklahoma Community Health Centers, Inc. hold CLIA laboratory certificates?

Yes. 2 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 Oklahoma Community Health Centers, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Northeastern Oklahoma Community Health Centers, Inc. 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 Oklahoma Community Health Centers, Inc. was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.