| NPI | 1063188878 |
|---|---|
| Doing Business As | TAHLEQUAH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SCOTT ROSENTHAL CEO 918-772-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |