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Kickapoo Tribal Health Center
Clinical Medical Laboratory in Mcloud, Oklahoma
NPI 1265518203

Kickapoo Tribal Health Center is a Clinical Medical Laboratory based in Mcloud, OK. Kickapoo Tribal Health Center practices in Mcloud, OK. The NPI Number for Kickapoo Tribal Health Center is 1265518203 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 405-964-2053.

Location: 105365 S. Hwy 102, Mcloud, OK, 74851-1360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265518203
Provider Name
Kickapoo Tribal Health Center
Credential
Provider Entity Type
Organization
Address
105365 S. Hwy 102, Mcloud, OK, 74851-1360
Phone Number
405-964-2081
Fax Number
405-964-2053
Provider Enumeration Date
10/31/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100700140A 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
405-964-2053
person
Provider Business Mailing Address Details
Address
105365 S. Hwy 102
City
Mcloud
State
Oklahoma
Zip
74851
Phone Number
405-964-2081
Fax Number
405-964-2053
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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