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Kickapoo Tribal Health Center
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mcloud, Oklahoma
NPI 1194803346

Kickapoo Tribal Health Center is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Mcloud, OK. Kickapoo Tribal Health Center practices in Mcloud, OK. The NPI Number for Kickapoo Tribal Health Center is 1194803346 and holds a License No. (Oklahoma).

The current practice location address for Kickapoo Tribal Health Center is 105365 S. Hwy 102, Mcloud, OK and can be reached out via phone at 405-964-2081 and via fax at 405-964-7160.

Location: 105365 S. Hwy 102, Mcloud, OK, 74851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194803346
Provider Name
Kickapoo Tribal Health Center
Credential
Provider Entity Type
Organization
Address
105365 S. Hwy 102, Mcloud, OK, 74851
Phone Number
405-964-2081
Fax Number
405-964-7160
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3721809 01 OK NABP
100245200A 05 OK
institution
Provider Business Practice Location Address Details
Address
105365 S. Hwy 102
City
Mcloud
State
Oklahoma
Zip
74851
Phone Number
405-964-2081
Fax Number
405-964-7160
person
Provider Business Mailing Address Details
Address
105365 S. Hwy 102
City
Mcloud
State
Oklahoma
Zip
74851
Phone Number
405-964-2081
Fax Number
405-964-7160
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
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 Health Care Improvement Act, 25 U.S.C. 1603.
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