KICKAPOO BEHAVIORAL HEALTH NPI 1063607117

NPI Information

  • NPI: 1063607117
  • Provider Name: KICKAPOO BEHAVIORAL HEALTH
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 404 NORTH HIGHWAY 102
    MCLOUD, OK
    ZIP 74851
  • Phone: (405) 964-2081

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NPI Details

KICKAPOO BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Mcloud, OK. KICKAPOO BEHAVIORAL HEALTH NPI is 1063607117. The provider is registered as an organization entity type.

The provider's business location address is:

404 NORTH HIGHWAY 102
MCLOUD, OK
ZIP 74851
Phone: (405) 964-2081
Fax: (405) 964-5677

The provider's authorized official is Wayne Irion .
The authorized official title is Health Director and has the following contact phone number (405) 964-2081.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder98OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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