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KICKAPOO TRIBAL HEALTH CENTER
NPI 1194803346
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mcloud, OK

Active since November 02, 2006CLIA 37D0667030 · Certificate of Compliance
105365 S. HWY 102, BUILDING M, MCLOUD, OK 74851(405) 964-2081(405) 964-7160 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kickapoo Tribal Health Center NPPES

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

KICKAPOO TRIBAL HEALTH CENTER (NPI 1194803346) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Mcloud, Oklahoma and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 19, 2026 and lists Wayne Irion, Health Director, as its authorized official.

NPPES Registry Identity

NPI1194803346
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameKICKAPOO TRIBAL HEALTH CENTER
Location Address105365 S. HWY 102, BUILDING MMcloud, OK 74851
Mailing Address105365 S. Hwy 102, Building MMcloud, OK 74851 · (405) 964-2081 · Fax (405) 964-7160
Phone(405) 964-2081
Fax(405) 964-7160
Organization SubpartNo
Authorized OfficialWayne IrionHealth Director · (405) 964-2081
Enumeration DateNovember 2, 2006
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1194803346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
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.
105365 S. HWY 102, Mcloud, OK 74851
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Other Names 1

Other NameKickapoo Tribal Pharmacy

Other Identifiers 2

Other3721809OK · Nabp
Medicaid100245200AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 Compliance 37D0667030

Kickapoo Tribal Health Center Laboratory · Mcloud, OK
Active · expires Aug 19, 2026
CLIA Number37D0667030
Laboratory TypeOther
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorNikki Hester
Laboratory Phone(405) 964-2081
Laboratory LocationKickapoo Tribal Health Center Laboratory105365 S Hwy 102, Mcloud, OK 74851
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

MS. EVELYN ANGIE MCELRATH I RDH
Dental Hygienist
105365 S. HWY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
KICKAPOO TRIBAL HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
105365 S. HWY 102, BUILDING M
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
MRS. AMBER L DAVIS P.A
Physician Assistant (Medical)
105365 S. HWY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
JERI K. SINGLETON M.D.
Pediatrics
105365 S. HWY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081

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 Kickapoo Tribal Health Center's NPI number?

The NPI number for Kickapoo Tribal Health Center is 1194803346. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is also known as Kickapoo Tribal Pharmacy.

Where is Kickapoo Tribal Health Center located?

Kickapoo Tribal Health Center is located at 105365 S. Hwy 102 Building M, Mcloud, OK 74851. The listed phone number is (405) 964-2081.

What is Kickapoo Tribal Health Center's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Does Kickapoo Tribal Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D0667030) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kickapoo Tribal Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 46 other insurers list Kickapoo Tribal Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kickapoo Tribal Health Center was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.