KICKAPOO BEHAVIORAL HEALTH
NPI 1063607117
Clinic/Center - Rehabilitation, Substance Use Disorder in Mcloud, OK
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About KICKAPOO BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Kickapoo Behavioral Health, a provider established in Mcloud, Oklahoma operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1063607117 assigned on September 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 98 (OK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Wayne Irion (Health Director)
- NPI
- 1063607117 Verify this NPI
- Provider Name
- KICKAPOO BEHAVIORAL HEALTH
- Entity Type
- Organization
- Location Address
- 404 NORTH HIGHWAY 102 MCLOUD, OK 74851
- Location Phone
- (405) 964-2081
- Location Fax
- (405) 964-5677
- Mailing Address
- 407 NORTH HIGHWAY 102 MCLOUD, OK 74851
- Mailing Phone
- (405) 964-2081
- Mailing Fax
- (405) 964-5677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-12-2007
- Last Update Date
- 10-06-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 98
- License State
- OK
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063607117, enumerated as an "organization" on September 12, 2007.
The provider is located at 404 NORTH HIGHWAY 102 MCLOUD, OK 74851 and the phone number is (405) 964-2081.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
