Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Health System

Organization Emergency Medicine Physician · NPI 1003865999

Northeastern Health System is an Emergency Medicine Physician in Tahlequah, Oklahoma. Medicare rates this hospital 2 out of 5. Licensed in Oklahoma.

CMS rating
2 of 5
Licensed in
OK
In the registry since
2006
Specialties on file
3

CMS quality rating

2 out of 5 — official hospital rating from CMS Care Compare (CCN 370089)

Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 456-8886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 2178 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2178 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 2178 (OK)

Record details

NPI number1003865999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Berry — Ceo · (918) 456-0641
Other names Tahlequah City Hospital
NPI enumeratedMay 8, 2006
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address1400 E Downing St, Tahlequah, OK 74464-3324

Other providers in Tahlequah