OrganizationActive
Kickapoo Tribal Health Center
NPI 1265518203 · Federally Qualified Health Center (FQHC) · Mcloud, OK
Provider details
- NPI number
- 1265518203
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Irion, Health Director(405) 964-2081
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Practice location
105365 S. Hwy 102
Building M
Mcloud, OK 74851
Phone: (405) 964-2081
Fax: (405) 964-2053
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1360
Mcloud, OK 74851-1360
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.