| Northeastern Oklahoma Community Health Centers, Inc. | |
|
101 E Ferry St Salina OK 74365-2988 | |
| (918) 434-7440 | |
| (918) 434-7441 |
| Full Name | Northeastern Oklahoma Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Ferry St, Salina, Oklahoma |
| Authorized Official Name and Position | Scott Roshenthal (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. 101 E Ferry St Salina OK 74365-2988 Ph: (918) 434-7440 |
| NPI Number | 1609254507 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 3678482635 |
|---|---|
| Medicare Enrollment ID | O20150828001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609254507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cherokee Nation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Amohi Lane, Salina, OK 74365 Phone: 918-434-8500 Fax: 918-434-8625 |