Organization · Type 2 NPI
Northeastern Health System
Rural Health Clinic/Center · Fort Gibson, OK
NPI number
1013458652
Active
Practice location
104 Lone Oak Cir
Fort Gibson, OK 74434-5001
Fax (918) 478-6008
Mailing address
PO Box 500
Tahlequah, OK 74465-0500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1013458652
Northeastern Health System's National Provider Identifier is 1013458652, issued on Mar 15, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fort Gibson, OK. The record was last updated on Apr 6, 2026.