NPIMap

Organization Active NPI

Northeastern Oklahoma Community Health Centers Inc

  • Community/Retail Pharmacy
  • Tahlequah, OK
National Provider Identifier
1124914551
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
Practice address
1721 S Muskogee Ave
Tahlequah, OK 74464-5432
Phone
(918) 708-3585
Fax
(918) 708-3584
NPI assigned
Jun 13, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Selene Salazar
Title
HR
Phone
(918) 772-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1721 S Muskogee Ave
Tahlequah, OK 74464-5432

Mailing address

1721 S Muskogee Ave
Tahlequah, OK 74464-5432
Phone (918) 708-3585

National Provider Directory

National Provider Directory
Tax ID family
NE Ok Comm HLTH Ctr Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1721 S Muskogee Ave
Tahlequah, OK 74464
Phone (918) 708-3585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1124914551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645432",
            "telephone_number": "918-708-3585",
            "fax_number": "918-708-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645432",
            "telephone_number": "918-708-3585",
            "fax_number": "918-708-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "SELENE",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "918-772-3390"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.