Kickapoo Tribal Health Center in Mcloud - Radiology

Kickapoo Tribal Health Center - NPI 1265518203

Kickapoo Tribal Health Center is a Radiology in Mcloud, Oklahoma. Kickapoo Tribal Health Center practices all healthcare services and medical treatments related to Radiology. 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 Radiology
Taxonomy 261Qr0200X
Definition:
Takes images of the body using radiologic techniques to diagnose disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100700140A OK --

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FAQs about Kickapoo Tribal Health Center

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 Radiology, and it falls under the taxonomy code 261Qr0200X, 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.

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