1265518203 KICKAPOO TRIBAL HEALTH CENTER

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
KICKAPOO TRIBAL HEALTH CENTER
Enumeration Date
October 31, 2006
Last Update
November 2, 2011
Authorized Official
MR. JANETTA MAHTAPENE
HEALTH DIRECTOR
Phone: (405) 964-2081

Practice Location

Address
105365 S. HWY 102
BUILDING M
MCLOUD, OK 74851
Phone
(405) 964-2081
Fax
(405) 964-2053

Mailing Address

Address
PO BOX 1360
MCLOUD, OK 748511360
Phone
(405) 964-2081
Fax
(405) 964-2053

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dental Clinic/Center
Dental
261QD0000X Clinic/Center N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A No
Radiology Clinic/Center
Radiology
261QR0200X Clinic/Center N/A N/A No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory N/A N/A No
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
100700140A 05 OK N/A

Frequently Asked Questions

What is KICKAPOO TRIBAL HEALTH CENTER's NPI number?
KICKAPOO TRIBAL HEALTH CENTER's NPI number is 1265518203.
Which doctor has NPI number 1265518203?
The doctor with NPI number 1265518203 is KICKAPOO TRIBAL HEALTH CENTER.
What is KICKAPOO TRIBAL HEALTH CENTER's practice address?
KICKAPOO TRIBAL HEALTH CENTER's practice address is 105365 S. HWY 102, BUILDING M, MCLOUD, OK, 74851.
Which doctor practices at 105365 S. HWY 102, BUILDING M, MCLOUD, OK, 74851?
KICKAPOO TRIBAL HEALTH CENTER practices at 105365 S. HWY 102, BUILDING M, MCLOUD, OK, 74851.
What is KICKAPOO TRIBAL HEALTH CENTER's mailing address?
KICKAPOO TRIBAL HEALTH CENTER's mailing address is PO BOX 1360, MCLOUD, OK, 748511360.
What is KICKAPOO TRIBAL HEALTH CENTER's phone number?
KICKAPOO TRIBAL HEALTH CENTER's phone number is (405) 964-2081.
Who is (405) 964-2081?
(405) 964-2081 is the phone number for KICKAPOO TRIBAL HEALTH CENTER.
What is KICKAPOO TRIBAL HEALTH CENTER's specialty?
KICKAPOO TRIBAL HEALTH CENTER's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is KICKAPOO TRIBAL HEALTH CENTER?
KICKAPOO TRIBAL HEALTH CENTER is a Federally Qualified Health Center (FQHC).
Is KICKAPOO TRIBAL HEALTH CENTER a Federally Qualified Health Center (FQHC)?
Yes, KICKAPOO TRIBAL HEALTH CENTER is a Federally Qualified Health Center (FQHC).
Is KICKAPOO TRIBAL HEALTH CENTER still practicing?
Yes, KICKAPOO TRIBAL HEALTH CENTER is currently practicing.
Is KICKAPOO TRIBAL HEALTH CENTER accepting new patients?
KICKAPOO TRIBAL HEALTH CENTER may be accepting new patients. Please call their office at (405) 964-2081 to inquire about availability.
Is NPI 1265518203 still active?
Yes, NPI 1265518203 is currently active.
Where does KICKAPOO TRIBAL HEALTH CENTER practice?
KICKAPOO TRIBAL HEALTH CENTER practices in MCLOUD, OK.