National Provider Identifier Database

KICKAPOO NATION HEALTH CENTER
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

KICKAPOO NATION HEALTH CENTER
1117 GOLDFINCH ROAD
HORTON, KS66439
Phone: 785-486-2154
Fax: 785-486-2158
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for KICKAPOO NATION HEALTH CENTER

NPI Number 1801058748
Legal business name
LBN
KICKAPOO NATION HEALTH CENTER
Authorized official JONNAH MCKINNEY - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/01/2008
Last updated 08/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 200438190A
  • Other: 1718052 NABP

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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