Kickapoo Tribal Health Center

NPI #1194803346 in Mcloud, Oklahoma

Provider Information

NPI Number: 1194803346
Entity Type: Organization
Organization Name: Kickapoo Tribal Health Center
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Nov 2, 2006
Last Updated: Oct 6, 2025

Practice Location

Address: 105365 S. HWY 102
Address 2: BUILDING M
City: Mcloud
State: Oklahoma
ZIP Code: 74851
Phone: (405) 964-2081

Authorized Official

Name: MR. WAYNE IRION
Title: HEALTH DIRECTOR
Phone: (405) 964-2081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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