NPIMap

Organization Active NPI

Northeastern Oklahoma Community Health Centers Inc

  • Community/Retail Pharmacy
  • Hulbert, OK
National Provider Identifier
1407145121
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
36-5888 Issued in OK
Legal business name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
Practice address
131 E Main St
Hulbert, OK 74441-8901
Phone
(918) 772-2727
Fax
(918) 772-6131
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Scott Rosenthal
Title
Ceo
Phone
(918) 772-3390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 36-5888 OK Primary

Addresses

Primary practice location

131 E Main St
Hulbert, OK 74441-8901

Mailing address

131 E Main St
Hulbert, OK 74441-8901
Phone (918) 772-2727

Other identifiers 1

IdentifierTypeStateIssuer
2134074OtherPK

Other names 1

  • NeoHealth Hulbert Pharmacy Doing business as

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

131 E Main St
Hulbert, OK 74441
Phone (918) 772-2727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1407145121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744418901",
            "telephone_number": "918-772-2727",
            "fax_number": "918-772-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744418901",
            "telephone_number": "918-772-2727",
            "fax_number": "918-772-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-772-3390"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "36-5888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoHealth Hulbert Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hulbert, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.