| Osu-aj Northeastern Health System Sequoyah ER | |
|
213 E Redwood Ave Sallisaw OK 74955-2811 | |
| (918) 561-8306 | |
| (918) 561-5747 |
| Full Name | Osu-aj Northeastern Health System Sequoyah ER |
|---|---|
| Speciality | Clinic/center |
| Location | 213 E Redwood Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Eric John Polak (VICE PRESIDENT OF ADMIN/FINANCE) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu-aj Northeastern Health System Sequoyah ER 1716 S Phoenix Ave Tulsa OK 74107-1850 Ph: (918) 561-8306 | Osu-aj Northeastern Health System Sequoyah ER 213 E Redwood Ave Sallisaw OK 74955-2811 Ph: (918) 561-8306 |
| NPI Number | 1386382539 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386382539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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