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

Northeastern Health System

Organization Medicare Defined Swing Bed Hospital Unit · NPI 1104567791

Northeastern Health System is a Medicare Defined Swing Bed Hospital Unit in Tahlequah, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 772-4505
Show map & directions

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

Specialties & licences

Medicare Defined Swing Bed Hospital Unit (primary) Taxonomy 275N00000X

Record details

NPI number1104567791
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheastern Health System
Authorized official James Berry — Evp/Hospital Administrator · (918) 453-2263
Other names Northeastern Health System Swingbed
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing addressPo Box 1008, Tahlequah, OK 74465-1008