| Northeastern Oklahoma Community Health Centers Inc | |
|
124 E Main St Hulbert OK 74441-8902 | |
| (918) 772-2879 | |
| (918) 772-1233 |
| Full Name | Northeastern Oklahoma Community Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 E Main St, Hulbert, Oklahoma |
| Authorized Official Name and Position | Scott Rosenthal (CEO) |
| Authorized Official Contact | 9187723390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Oklahoma Community Health Centers Inc Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Northeastern Oklahoma Community Health Centers Inc 124 E Main St Hulbert OK 74441-8902 Ph: (918) 772-2879 |
| NPI Number | 1518070481 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 3678482635 |
|---|---|
| Medicare Enrollment ID | O20030409000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518070481 | NPI | - | NPPES |
| 200006960H | Medicaid | OK | |
| 200006960A | Medicaid | OK | |
| 200006960E | Medicaid | OK | |
| 200006960I | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0612740 (Oklahoma) | Primary |
Northeastern Oklahoma Community Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Main St, Hulbert, OK 74441 Phone: 918-772-2879 Fax: 918-772-1233 | |
Northeastern Oklahoma Community Health Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Main St, Hulbert, OK 74441 Phone: 918-772-3471 Fax: 918-772-1233 |