Kiamichi Family Medical Center Inc.

NPI #1194434688 in Idabel, Oklahoma

Provider Information

NPI Number: 1194434688
Entity Type: Organization
Organization Name: Kiamichi Family Medical Center Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 2809 NE LINCOLN RD
City: Idabel
State: Oklahoma
ZIP Code: 74745
Phone: (580) 286-6688

Authorized Official

Name: AMY GILBREATH
Title: CEO
Phone: (580) 286-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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