KIAMICHI FAMILY MEDICAL CENTER INC. NPI 1194434688

NPI Information

NPI: 1194434688
Provider Name: KIAMICHI FAMILY MEDICAL CENTER INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2809 NE LINCOLN RD
IDABEL, OK
ZIP 74745
Phone: (580) 286-6688
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KIAMICHI FAMILY MEDICAL CENTER INC. is a federally qualified health center (fqhc) clinic center in Idabel, OK. KIAMICHI FAMILY MEDICAL CENTER INC. NPI is 1194434688. The provider is registered as an organization entity type.

The provider's business location address is:

2809 NE LINCOLN RD
IDABEL, OK
ZIP 74745
Phone: (580) 286-6688
Fax: (580) 286-6699

The provider's authorized official is Amy Gilbreath .
The authorized official title is Ceo and has the following contact phone number (580) 286-6688.

The enumeration date for this NPI number is 11/23/2022 and was last updated on 11/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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