OrganizationActive
Kiamichi Family Medical Center, Inc
NPI 1780172916 · Federally Qualified Health Center (FQHC) · Broken Bow, OK
Provider details
- NPI number
- 1780172916
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Gilbreath, Ceo(580) 241-5294
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 S Park Dr
Broken Bow, OK 74728-5330
Phone: (580) 241-5294
Street-level locationGet directions
Mailing address
6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2018-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.