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KICKAPOO TRIBAL HEALTH CENTER NPI 1194803346


NPI Information

NPI: 1194803346
Provider Name: KICKAPOO TRIBAL HEALTH CENTER

Other Name: KICKAPOO TRIBAL PHARMACY

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
105365 S. HWY 102
BUILDING M
MCLOUD, OK
ZIP 74851
Phone: (405) 964-2081
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KICKAPOO TRIBAL HEALTH CENTER is an indian health service tribal urban indian health i t u pharmacy in Mcloud, OK. The provider is 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. KICKAPOO TRIBAL HEALTH CENTER NPI is 1194803346. The provider is registered as an organization entity type.
The provider Other Name Is Kickapoo Tribal Pharmacy.

The provider's business location address is:

105365 S. HWY 102
BUILDING M
MCLOUD, OK
ZIP 74851
Phone: (405) 964-2081
Fax: (405) 964-7160

The provider's authorized official is Janetta Mahtapene .
The authorized official title is Health Director and has the following contact phone number (405) 964-2081.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/2/2011.


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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13721809OTHEROKLAHOMANABP
2100245200AMEDICAIDOKLAHOMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.