Kickapoo Nation Health Center in Horton - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Kickapoo Nation Health Center - NPI 1801058748
Kickapoo Nation Health Center is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Horton, Kansas. Kickapoo Nation Health Center practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Kickapoo Nation Health Center is 1801058748. The last update date is 2012-10-26.
Kickapoo Nation Health Center's current location address is 1117 Goldfinch Road, Horton, Kansas. You can contact this provider via phone number 7854862154 and fax number 7854862158. The mailing address for Kickapoo Nation Health Center is 1117 Goldfinch Road, Horton, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kickapoo Nation Health Center |
|---|---|
| Address | 1117 Goldfinch Road, Horton, Kansas |
| Phone Number | 7854862154 |
| Fax Number | 7854862158 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMICIST |
|---|---|
| Authorized Official Name | Austin Kelly Paul |
| Credentials | PHARM D |
| Telephone Number | 7854862154 |
NPI Number Detail
| NPI Number | 1801058748 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2012-10-26 |
Provider Mailing Address Detail
| Address | 1117 Goldfinch Road |
|---|---|
| City | Horton |
| State | Kansas (KS) |
| Post Code | 66439 |
| Phone Number | 7854862154 |
| Fax Number | 7854862158 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718052 | NABP | ||
| 200438190A | KS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kickapoo Nation Health Center by the Centers for Medicare & Medicaid Services?
The Kickapoo Nation Health Center has been issued the NPI (National Provider Identifier) 1801058748. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kickapoo Nation Health Center's physical address?
The Kickapoo Nation Health Center is physically located at 1117 Goldfinch Road, in the city of Horton, KS, with the postal code 66439.
What is Kickapoo Nation Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kickapoo Nation Health Center's specialized field of practice is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 332800000X.
On what date was the 1801058748 assigned to Kickapoo Nation Health Center?
The Kickapoo Nation Health Center was issued its 1801058748 on 2008-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kickapoo Nation Health Center last refreshed?
The information related to the Kickapoo Nation Health Center, including its address, specialty, and other relevant details, was last updated on 2012-10-26.
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