Neohealth | |
1500 E Downing St Suite 214 Tahlequah OK 74464-3379 | |
(918) 431-0202 | |
(918) 431-0203 |
Full Name | Neohealth |
---|---|
Speciality | Clinic/Center |
Location | 1500 E Downing St, Tahlequah, 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 |
---|---|
Neohealth Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Neohealth 1500 E Downing St Suite 214 Tahlequah OK 74464-3379 Ph: (918) 431-0202 |
NPI Number | 1366744534 |
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Provider Enumeration Date | 11/22/2010 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 3678482635 |
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Medicare Enrollment ID | O20110503000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366744534 | NPI | - | NPPES |
200006960E | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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