National Provider Identifier Database

KICKAPOO TRIBAL HEALTH CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

KICKAPOO TRIBAL HEALTH CENTER
105365 S. HWY 102
BUILDING M
MCLOUD, OK74851
Phone: 405-964-2081
Fax: 405-964-2053
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Adolescent and Children Mental Health 261QM0855X
Adult Mental Health 261QM0850X
Clinical Medical Laboratory 291U00000X
Dental 261QD0000X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for KICKAPOO TRIBAL HEALTH CENTER

NPI Number 1265518203
Legal business name
LBN
KICKAPOO TRIBAL HEALTH CENTER
Authorized official WAYNE IRION - (HEALTH DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/31/2006
Last updated 10/06/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100700140A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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