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KIAMICHI FAMILY MEDICAL CENTER INC.
NPI 1194434688
Clinic/Center - Federally Qualified Health Center (FQHC) in Idabel, OK

Active since November 23, 2022
2809 NE LINCOLN RD, IDABEL, OK 74745(580) 286-6688(580) 286-6699 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kiamichi Family Medical Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIAMICHI FAMILY MEDICAL CENTER INC. (NPI 1194434688) is a healthcare organization registered as a federally qualified health center (fqhc) in Idabel, Oklahoma and active in the NPI registry since November 2022. The organization lists Amy Gilbreath, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194434688
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKIAMICHI FAMILY MEDICAL CENTER INC.
Location Address2809 NE LINCOLN RDIdabel, OK 74745
Mailing Address2809 Ne Lincoln RdIdabel, OK 74745 · (580) 286-6699 · Fax (580) 286-6699
Phone(580) 286-6688
Fax(580) 286-6699
Organization SubpartNo
Authorized OfficialAmy GilbreathCeo · (580) 286-6688
Enumeration DateNovember 23, 2022
NPPES CertifiedNovember 17, 2022
✔ NPI 1194434688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2809 NE LINCOLN RD, Idabel, OK 74745
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE BIVINGS LCSW
Social Worker (Clinical)
2809 NE LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6688
KIAMICHI FAMILY MEDICAL CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2809 NE LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6688
DR. LISA A BARACKER DO
Family Medicine
2809 NE LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6688

Frequently Asked Questions

What is KIAMICHI FAMILY MEDICAL CENTER INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1194434688, enumerated as an "organization" on November 23, 2022.

Where is the provider located?

The provider is located at 2809 NE LINCOLN RD IDABEL, OK 74745 and the phone number is (580) 286-6688.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).