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

Sequoyah County-City of Sallisaw Hospital Authority

Organization Family Medicine Physician · NPI 1043959141

Sequoyah County-City of Sallisaw Hospital Authority is a Family Medicine Physician in Sallisaw, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

511 E Redwood Ave
Sallisaw, OK 74955-3020
Phone: (918) 775-1619
Fax: (918) 775-1618
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043959141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Six — Director · (918) 774-1100
Other names Northeastern Health System Sequoyah; Northeastern Health System Sequoyah
NPI enumeratedMay 27, 2022
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address213 E Redwood Ave, Sallisaw, OK 74955-2811

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