| Northeastern Oklahoma Community Health Centers Inc | |
|
124 E Main St Hulbert OK 74441-8902 | |
| (918) 772-3471 | |
| (918) 772-1233 |
| Full Name | Northeastern Oklahoma Community Health Centers Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 124 E Main St, Hulbert, Oklahoma |
| Authorized Official Name and Position | Scott Rosenthal (CEO) |
| Authorized Official Contact | 9187723390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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) 772-3471 |
| NPI Number | 1972597680 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972597680 | NPI | - | NPPES |
| 100172500 | Other | OK | MEDICARE PIN |
| 200006960A | Medicaid | OK | |
| 100522043 | Other | OK | MEDICARE GRP |
| 200006960B | Medicaid | OK | |
| 300522063 | Other | OK | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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: Medicare Enrolled Practice Location: 124 E Main St, Hulbert, OK 74441 Phone: 918-772-2879 Fax: 918-772-1233 |