NPI:
1992806012
Provider Name:
KICKAPOO TRIBE IN KANSAS
Doing Business As: KICKAPOO NATION HEALTH CENTER
Classification:
Clinic/Center - 261QP0904X
Entity Type:
Organization
Specialization: Public Health, Federal
Address:
1117 GOLDFINCH RD
HORTON, KS
ZIP 66439
Phone:
(785) 486-2154
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KICKAPOO TRIBE IN KANSAS is a public health and federal clinic center in Horton, KS. KICKAPOO TRIBE IN KANSAS NPI is 1992806012. The provider is registered as an organization entity type.
The provider Is Doing Business As Kickapoo Nation Health Center.
The provider's business location address is:
1117 GOLDFINCH RD
HORTON, KS
ZIP 66439-537
Phone: (785) 486-2154
Fax: (785) 486-2158
The provider's authorized official is Ashley Santer .
The authorized official title is Administration and has the following contact phone number (785) 486-2154.
The enumeration date for this NPI number is 9/25/2006 and was last updated on 4/24/2024.