KIAMICHI FAMILY MEDICAL CENTER, INC
NPI 1780172916
Clinic/Center - Federally Qualified Health Center (FQHC) in Broken Bow, OK
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 1780172916) is a healthcare organization registered as a federally qualified health center (fqhc) in Broken Bow, Oklahoma and active in the NPI registry since April 2018. The organization lists Amy Gilbreath, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kiamichi Family Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Kiamichi Family Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1780172916. It was assigned to this organization in the NPPES registry on April 24, 2018.
Where is Kiamichi Family Medical Center, Inc located?
Kiamichi Family Medical Center, Inc is located at 510 S Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 241-5294.
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.
Is Kiamichi Family Medical Center, Inc enrolled in Medicare?
Yes. Kiamichi Family Medical Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kiamichi Family Medical Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Kiamichi Family Medical Center, Inc, in Clinical Social Worker, Family Practice, General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kiamichi Family Medical Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kiamichi Family Medical Center, Inc 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 Kiamichi Family Medical Center, Inc was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Kiamichi Family Medical Center, Inc · NPI 1780172916
Federally Qualified Health Center (FQHC) organization in Broken Bow, Oklahoma. Organization record, active in the CMS NPPES registry since April 24, 2018.
## Identity
- **NPI:** 1780172916 (Entity type: Organization)
- **Enumerated:** April 24, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Amy Gilbreath, CEO
## Practice location
- **Address:** 510 S PARK DR, Broken Bow, OK 74728-5330
- **Phone:** (580) 241-5294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), General Practice (2), Clinical Social Worker (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1780172916) · Data from the CMS NPPES public registry.