Organization · Type 2 NPI
Kickapoo Tribal Health Center
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mcloud, OK
Practice location
105365 S. Hwy 102, Building M
Mcloud, OK 74851
Fax (405) 964-7160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.
4 other providers at this address
- Kickapoo Tribal Health CenterFederally Qualified Health Center (FQHC) Mcloud, OK NPI 1265518203
- Amber L. Davis, P.AMedical Physician Assistant Mcloud, OK NPI 1467458638
- Evelyn Angie McElrath I, RDHDental Hygienist Mcloud, OK NPI 1225473531
- Jeri K. Singleton, MDPediatrics Physician Mcloud, OK NPI 1720172463
About NPI 1194803346
Kickapoo Tribal Health Center's National Provider Identifier is 1194803346, issued on Nov 2, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Mcloud, OK. The record was last updated on Oct 6, 2025.