Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Kiamichi Family Medical Center Inc.'s NPI number?

The NPI number for Kiamichi Family Medical Center Inc. is 1194434688. It was assigned to this organization in the NPPES registry on November 23, 2022.

Q: What is Kiamichi Family Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 23, 2022CLIA 37D2149537 · Waiver

1 SW MAIN ST STE 100, IDABEL, OK 74745(580) 286-6688(580) 286-6699 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, Nov 23, 2022 (2 updates tracked since 2022).

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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 holds a CLIA Waiver certificate valid through June 4, 2028 and lists Amy Gilbreath, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194434688

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameKIAMICHI FAMILY MEDICAL CENTER INC.

Location Address1 SW MAIN ST STE 100Idabel, OK 74745

Mailing Address403 S Indian RdIdabel, OK 74745-5458 · (580) 286-6688 · Fax (580) 286-6699

Phone(580) 286-6688

Fax(580) 286-6699

Organization SubpartNo

Authorized OfficialAmy GilbreathCeo · (580) 286-6688

Enumeration DateNovember 23, 2022

Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ 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

1 SW MAIN ST STE 100, Idabel, OK 74745

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2149537

Kiamichi Family Medical Center, Inc · Broken Bow, OK

Active · expires Jun 4, 2028

CLIA Number37D2149537

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorBeth Leader

Laboratory Phone(580) 286-6688

Laboratory LocationKiamichi Family Medical Center, Inc510 S Park Drive, Broken Bow, OK 74728

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiamichi Family Medical Center Inc.'s NPI number?

The NPI number for Kiamichi Family Medical Center Inc. is 1194434688. It was assigned to this organization in the NPPES registry on November 23, 2022.

Where is Kiamichi Family Medical Center Inc. located?

Kiamichi Family Medical Center Inc. is located at 1 SW Main St Ste 100, Idabel, OK 74745. The listed phone number is (580) 286-6688.

What is Kiamichi Family Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Kiamichi Family Medical Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2149537) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kiamichi Family Medical Center Inc. was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.