| Northeastern Health System Sequoyah | |
|
511 E Redwood Ave Sallisaw OK 74955-3020 | |
| (918) 775-1619 | |
| (918) 775-1618 |
| Full Name | Northeastern Health System Sequoyah |
|---|---|
| Speciality | Family Medicine |
| Location | 511 E Redwood Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Stephanie Six (DIRECTOR) |
| Authorized Official Contact | 9187741100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Health System Sequoyah 213 E Redwood Ave Sallisaw OK 74955-2811 Ph: (191) 877-4111 | Northeastern Health System Sequoyah 511 E Redwood Ave Sallisaw OK 74955-3020 Ph: (918) 775-1619 |
| NPI Number | 1043959141 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 1759282239 |
|---|---|
| Medicare Enrollment ID | O20220823003231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043959141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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