Northeastern Health System
General Acute Care Hospital
1400 E Downing St, Tahlequah
Oklahoma, 74464-3324
918-456-0641 918-456-8886
Northeastern Health System is a General Acute Care Hospital in Tahlequah, Oklahoma. It is located at 1400 E Downing St, Tahlequah and it's customer support contact number is 918-456-0641. The authorized person of Northeastern Health System is Mr. Brian Woodliff who is Ceo of this DME and his contact number is 918-456-0641. Active license number of Northeastern Health System is 2178 for General Acute Care Hospital in Oklahoma. Northeastern Health System accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northeastern Health System is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
DME Supplier Details:
Northeastern Health System type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Northeastern Health System |
| Type: | General Acute Care Hospital |
| Location: | 1400 E Downing St, Tahlequah,
Oklahoma, 74464-3324 |
| Phone: | 918-456-0641 |
| Fax: | 918-456-8886 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Brian Woodliff |
| Position: | Ceo |
| Contact Number: | 918-456-0641 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1003865999 |
| NPI Enumeration Date: | 08 May, 2006 |
| NPI Last Update On: | 28 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeastern Health System are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 2178 | Oklahoma | Primary | |
| Emergency Medicine | 2178 | Oklahoma | Secondary | |
| Durable Medical Equipment & Medical Supplies | 2178 | Oklahoma | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000370089001 | Other | Oklahoma | Bcbs |
| 100700680A | Medicaid | Oklahoma | |
Medicare Enrollment:
Northeastern Health System is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1400 E Downing St, Po Box 1008
Tahlequah, Oklahoma |
| Zip: | 74464-3324 |
| Phone Number: | 918-456-0641 |
| Fax Number: | 918-456-8886 |
Patients can reach Northeastern Health System at
1400 E Downing St, Tahlequah, Oklahoma or can
call on customer care at 918-456-0641.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.