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

Northeastern Health System

Organization Rural Health Clinic/Center · NPI 1013458652

Northeastern Health System is a Rural Health Clinic/Center in Fort Gibson, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

104 Lone Oak Cir
Fort Gibson, OK 74434-5001
Phone: (918) 478-2101
Fax: (918) 478-6008
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1013458652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Ward — Cfo · (918) 453-2120
Other names Fort Gibson Medical Clinic
NPI enumeratedMarch 15, 2017
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 500, Tahlequah, OK 74465-0500