Northeastern Health System
NPI 1104567791ActiveOrganization· Medicare Defined Swing Bed Unit· Tahlequah, OK
Medicare Defined Swing Bed Unit in Tahlequah, Oklahoma, registered in NPPES in April 2022, part of Northeastern Health System. The authorized official on file is James Theodore Berry, Evp/Hospital Administrator.
Overview
| NPI | 1104567791 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Northeastern Health System |
| NPI issued | Apr 6, 2022 |
| Last updated in NPPES | Apr 6, 2022 |
| Certified by provider | Apr 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Medicare Defined Swing Bed Unit Primary | 275N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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