KICKAPOO NATION HEALTH CENTER NPI 1801058748

NPI Information

  • NPI: 1801058748
  • Provider Name: KICKAPOO NATION HEALTH CENTER
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Doing Business As: KICKAPOO NATION HEALTH CENTER
  • CLIA Number: 17D0875523
  • Address: 1117 GOLDFINCH ROAD
    HORTON, KS
    ZIP 66439
  • Phone: (785) 486-2154

Map and Directions

Get Directions

NPI Details

KICKAPOO NATION HEALTH CENTER is an indian health service tribal urban indian health i t u pharmacy in Horton, KS. The provider is 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. KICKAPOO NATION HEALTH CENTER NPI is 1801058748. The provider is registered as an organization entity type.
The provider Is Doing Business As Kickapoo Nation Health Center.

The provider's business location address is:

1117 GOLDFINCH ROAD
HORTON, KS
ZIP 66439
Phone: (785) 486-2154
Fax: (785) 486-2158

The provider's authorized official is Jonnah Mckinney .
The authorized official title is Director and has the following contact phone number (785) 915-9751.

The CLIA number assigned to this NPI record is 17D0875523 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 8/29/2024.

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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200438190AMEDICAIDKANSAS
21718052OTHERNABP

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI