Kickapoo Tribal Health Center in Mcloud - Adult Mental Health
Kickapoo Tribal Health Center - NPI 1265518203
Kickapoo Tribal Health Center is a Adult Mental Health in Mcloud, Oklahoma. Kickapoo Tribal Health Center practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Kickapoo Tribal Health Center is 1265518203. The last update date is 2011-11-02.
Kickapoo Tribal Health Center's current location address is Po Box 1360, Mcloud, Oklahoma. You can contact this provider via phone number 4059642081 and fax number 4059642053. The mailing address for Kickapoo Tribal Health Center is Po Box 1360, Mcloud, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kickapoo Tribal Health Center |
---|---|
Address | Po Box 1360, Mcloud, Oklahoma |
Phone Number | 4059642081 |
Fax Number | 4059642053 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HEALTH DIR |
---|---|
Authorized Official Name | Mahtapene Janetta |
Telephone Number | 4059642081 |
NPI Number Detail
NPI Number | 1265518203 |
---|---|
Provider Enumeration Date | 2006-10-31 |
Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
Address | Po Box 1360 |
---|---|
City | Mcloud |
State | Oklahoma (OK) |
Post Code | 748511360 |
Phone Number | 4059642081 |
Fax Number | 4059642053 |
Provider's Primary Taxonomy Detail
Speciality | Adult Mental Health |
---|---|
Taxonomy | 261Qm0850X |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100700140A | OK | -- |
Post Comment/ Review Below
What is the Kickapoo Tribal Health Center's 1265518203?
The Kickapoo Tribal Health Center's NPI (National Provider Identifier) Number is 1265518203. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kickapoo Tribal Health Center is located?
The Kickapoo Tribal Health Center is situated at the following address: Po Box 1360, Mcloud, OK, 748511360.
What is Kickapoo Tribal Health Center's area of expertise and its corresponding taxonomy classification?
The Kickapoo Tribal Health Center's field of specialization is Adult Mental Health, and it falls under the taxonomy code 261Qm0850X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1265518203 to Kickapoo Tribal Health Center?
The Centers for Medicare & Medicaid Services assigned the 1265518203 to Kickapoo Tribal Health Center on 2006-10-31.
As of what date were the details related to Kickapoo Tribal Health Center most recently updated or revised?
The information pertaining to Kickapoo Tribal Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-02.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA