KIAMICHI FAMILY MEDICAL CENTER INC NPI 1902269012

NPI Information

NPI: 1902269012
Provider Name: KIAMICHI FAMILY MEDICAL CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 37D2149537

Address:
204 E. JACKSON
HUGO, OK
ZIP 74743
Phone: (580) 326-9555
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KIAMICHI FAMILY MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Hugo, OK. KIAMICHI FAMILY MEDICAL CENTER, INC NPI is 1902269012. The provider is registered as an organization entity type.

The provider's business location address is:

204 E. JACKSON
HUGO, OK
ZIP 74743-821
Phone: (580) 326-9555
Fax: (580) 241-5739

The provider's authorized official is Amy Gilbreath .
The authorized official title is Ceo and has the following contact phone number (580) 241-5294.

The CLIA number assigned to this NPI record is 37D2149537 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 12/8/2016.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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