| Northeastern Tribal Health System | |
|
7600 S Highway 69a Miami OK 74354-1016 | |
| (918) 542-1655 | |
| (918) 540-1685 |
| Full Name | Northeastern Tribal Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 7600 S Highway 69a, Miami, Oklahoma |
| Authorized Official Name and Position | Rachel Lee Olsen (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 9183224433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Tribal Health System Po Box 1498 2301 Eight Tribes Trail Miami OK 74355-1498 Ph: (918) 542-1655 | Northeastern Tribal Health System 7600 S Highway 69a Miami OK 74354-1016 Ph: (918) 542-1655 |
| NPI Number | 1871522532 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 7911893854 |
|---|---|
| Medicare Enrollment ID | O20040226000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871522532 | NPI | - | NPPES |
| 100700600D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cameron C Scott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699898429 PECOS PAC ID: 6608819867 Enrollment ID: I20050608000547 |
| Provider Name | Suzanne T Mallatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417984352 PECOS PAC ID: 8022116300 Enrollment ID: I20071101000604 |
| Provider Name | Rebecca A Enloe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578753216 PECOS PAC ID: 0446347959 Enrollment ID: I20071213000425 |
| Provider Name | Tommy D Foreman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750373494 PECOS PAC ID: 2961592902 Enrollment ID: I20071214000268 |
| Provider Name | Brent Denley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487797718 PECOS PAC ID: 9335224229 Enrollment ID: I20080318000126 |
| Provider Name | Carol A Demond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386826113 PECOS PAC ID: 1153400643 Enrollment ID: I20080508000791 |
| Provider Name | Shirley L Chesnut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932293974 PECOS PAC ID: 5092862482 Enrollment ID: I20110329000702 |
| Provider Name | Douglas R Banning |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356477681 PECOS PAC ID: 6608863287 Enrollment ID: I20110912000086 |
| Provider Name | Kristy L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437454451 PECOS PAC ID: 9335306885 Enrollment ID: I20120210000447 |
| Provider Name | Jari Jill Frazier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326087636 PECOS PAC ID: 4587791041 Enrollment ID: I20140310000651 |
| Provider Name | Kara J Kinsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063510642 PECOS PAC ID: 1759478878 Enrollment ID: I20180109001105 |
| Provider Name | James C Eaton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144266859 PECOS PAC ID: 4688706450 Enrollment ID: I20180221001048 |
| Provider Name | Shelly Diane Sedberry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770978074 PECOS PAC ID: 8426379041 Enrollment ID: I20181212002356 |
| Provider Name | Matthew A Keim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194803072 PECOS PAC ID: 5799020541 Enrollment ID: I20181222000125 |
| Provider Name | Daniel Robinett Shea |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548255995 PECOS PAC ID: 0446547582 Enrollment ID: I20191014000405 |
| Provider Name | Jennifer D Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801319652 PECOS PAC ID: 5991076606 Enrollment ID: I20210908000460 |
| Provider Name | Shelly Ann Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487022 PECOS PAC ID: 4981877206 Enrollment ID: I20211008000624 |
| Provider Name | April L Wyatt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770915746 PECOS PAC ID: 0941677520 Enrollment ID: I20221110003023 |
| Provider Name | Sabrina Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750085064 PECOS PAC ID: 5698130193 Enrollment ID: I20230506000064 |
| Provider Name | Scotti B Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659155620 PECOS PAC ID: 5193187391 Enrollment ID: I20230821002274 |
| Provider Name | Presley A Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194336156 PECOS PAC ID: 7113370578 Enrollment ID: I20240201001664 |
| Provider Name | Everett E Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093016461 PECOS PAC ID: 8022468735 Enrollment ID: I20240429001533 |
| Provider Name | Matthew Harold Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225030562 PECOS PAC ID: 2062465354 Enrollment ID: I20240509002326 |
| Provider Name | Kristin C Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982096400 PECOS PAC ID: 6305296005 Enrollment ID: I20240520002720 |
Doney Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, Suite 201, Miami, OK 74354 Phone: 918-542-8477 Fax: 918-542-6422 | |
Rita S Westenhaver D.o. Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62420 E Highway 137, Miami, OK 74354 Phone: 918-314-2295 Fax: 866-659-6935 | |
Durham Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-3500 Fax: 918-540-3506 | |
Vital Health Alliance Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 A St Nw, Miami, OK 74354 Phone: 918-961-1658 | |
Xpress Wellness Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2518 N Main St, Miami, OK 74354 Phone: 918-540-9080 | |
Integris Health Medical Group Miami Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, Ste 101, 102, 103, 105, 106a, 106b, 107a, 107b, & 203, Miami, OK 74354 Phone: 918-540-7700 | |
Community Health Center Of Miami Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Nw Veterans Blvd, Miami, OK 74354 Phone: 620-231-9873 |