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KICKAPOO TRIBAL HEALTH CENTER
NPI 1265518203
Clinic/Center - Federally Qualified Health Center (FQHC) in Mcloud, OK

Active since October 31, 2006CLIA 37D0667030 · Certificate of Compliance
105365 S. HWY 102, BUILDING M, MCLOUD, OK 74851(405) 964-2081(405) 964-2053 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1265518203) is a healthcare organization registered as a federally qualified health center (fqhc) in Mcloud, Oklahoma and active in the NPI registry since October 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

NPI1265518203
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKICKAPOO TRIBAL HEALTH CENTER
Location Address105365 S. HWY 102, BUILDING MMcloud, OK 74851
Mailing AddressPo Box 1360Mcloud, OK 74851-1360 · (405) 964-2081 · Fax (405) 964-2053
Phone(405) 964-2081
Fax(405) 964-2053
Organization SubpartNo
Authorized OfficialWayne IrionHealth Director · (405) 964-2081
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1265518203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
105365 S. HWY 102, Mcloud, OK 74851
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Other Identifiers 1

Medicaid100700140AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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

What is KICKAPOO TRIBAL HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1265518203, enumerated as an "organization" on October 31, 2006.

Where is the provider located?

The provider is located at 105365 S. HWY 102 BUILDING M MCLOUD, OK 74851 and the phone number is (405) 964-2081.

What is the provider's specialty?

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

What insurance does KICKAPOO TRIBAL HEALTH CENTER accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.