OrganizationActive
Northeastern Health System
NPI 1104567791 · Medicare Defined Swing Bed Hospital Unit · Tahlequah, OK
Provider details
- NPI number
- 1104567791
- Entity type
- Organization
- Primary specialty
- Medicare Defined Swing Bed Hospital UnitHospital Units
- Parent organization
- Northeastern Health System
- Organization subpart
- Yes
- Authorized official
- James Berry, Evp/Hospital Administrator(918) 453-2263
Specialties & taxonomies
Hospital Units
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 772-4505
Street-level locationGet directions
Mailing address
Po Box 1008
Tahlequah, OK 74465-1008
Other names (DBA / former)
- Other name
- Northeastern Health System Swingbed
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.