Kickapoo Tribal Health Center in Mcloud - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Kickapoo Tribal Health Center - NPI 1194803346
Kickapoo Tribal Health Center is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Mcloud, Oklahoma. Kickapoo Tribal 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 Tribal Health Center is 1194803346. The last update date is 2011-11-02.
Kickapoo Tribal Health Center's current location address is 105365 S. Hwy 102, Mcloud, Oklahoma. You can contact this provider via phone number 4059642081 and fax number 4059647160. The mailing address for Kickapoo Tribal Health Center is 105365 S. Hwy 102, Mcloud, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kickapoo Tribal Health Center |
|---|---|
| Address | 105365 S. Hwy 102, Mcloud, Oklahoma |
| Phone Number | 4059642081 |
| Fax Number | 4059647160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH DIR |
|---|---|
| Authorized Official Name | Mahtapene Janetta |
| Telephone Number | 4059642081 |
NPI Number Detail
| NPI Number | 1194803346 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 105365 S. Hwy 102 |
|---|---|
| City | Mcloud |
| State | Oklahoma (OK) |
| Post Code | 74851 |
| Phone Number | 4059642081 |
| Fax Number | 4059647160 |
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 |
|---|---|---|---|
| 3721809 | OK | NABP | |
| 100245200A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kickapoo Tribal Health Center by the Centers for Medicare & Medicaid Services (CMS)?
The Kickapoo Tribal Health Center has been assigned the NPI (National Provider Identifier) 1194803346. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kickapoo Tribal Health Center?
The Kickapoo Tribal Health Center is situated at 105365 S. Hwy 102, in the city of Mcloud, state of OK, with the zip code 74851.
What is Kickapoo Tribal Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kickapoo Tribal Health Center is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the taxonomy code that classifies this field of practice is 332800000X.
When was the Kickapoo Tribal Health Center's 1194803346 issued?
The Kickapoo Tribal Health Center's 1194803346 was issued on 2006-11-02.
When was the Kickapoo Tribal Health Center's information last updated?
The Kickapoo Tribal Health Center's information was last updated on 2011-11-02.