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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.

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Contact Information

KICKAPOO NATION HEALTH CENTER
1117 GOLDFINCH ROAD
HORTON, KS  66439
 Phone: 785-486-2154
 Fax: 785-486-2158
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

 332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KICKAPOO NATION HEALTH CENTER

NPI Number 1801058748
LBN Legal business name KICKAPOO NATION HEALTH CENTER
Authorized official JONNAH MCKINNEY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2008
Last updated 08/29/2024 - More than a year ago
Identifiers
KS Medicaid 200438190A
Other 1718052 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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