Organization · Type 2 NPI

Sequoyah County-City of Sallisaw Hospital Authority

Family Medicine Physician · Sallisaw, OK

NPI number 1043959141 Active

Practice location

511 E Redwood Ave
Sallisaw, OK 74955-3020

Call (918) 775-1619 Map

Fax (918) 775-1618

Mailing address

213 E Redwood Ave
Sallisaw, OK 74955-2811

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Sallisaw

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NPI record

NPI: 1043959141
Entity type: Organization (Type 2)
Issued: May 27, 2022
Last updated: Apr 20, 2023
Status: Active

Other names

<unavail>
Northeastern Health System Sequoyah · doing business as
Northeastern Health System Sequoyah · doing business as

Authorized official

Stephanie Six
Director
(918) 774-1100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043959141

Sequoyah County-City of Sallisaw Hospital Authority's National Provider Identifier is 1043959141, issued on May 27, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sallisaw, OK. The record was last updated on Apr 20, 2023.