KIAMICHI FAMILY MEDICAL CENTER, INC
NPI 1902269012
Clinic/Center - Federally Qualified Health Center (FQHC) in Hugo, OK

Active since April 05, 2016CLIA 37D2111588 · Waiver
3004 E. JACKSON, HUGO, OK 74743(580) 326-9555(580) 241-5739 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1902269012) is a healthcare organization registered as a federally qualified health center (fqhc) in Hugo, Oklahoma and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Amy Gilbreath, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902269012
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKIAMICHI FAMILY MEDICAL CENTER, INC
Location Address3004 E. JACKSONHugo, OK 74743-3821
Mailing Address6026 Battiest Pickens RdBroken Bow, OK 74728-5033 · (580) 241-5294 · Fax (580) 241-5739
Fax(580) 241-5739
Organization SubpartNo
Authorized OfficialAmy GilbreathCeo · (580) 241-5294
Enumeration DateApril 5, 2016
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1902269012 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
3004 E. JACKSON, Hugo, OK 74743

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

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Kiamichi Family Medical Center, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

General Practice
NPI 1891786737
603 NE 2ND ST ROWLAND FLATT CLINIC
Antlers, OK 74523
(580) 298-3351
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1598131542
6026 BATTIEST PICKENS RD
Broken Bow, OK 74728
(580) 241-5294
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1326361668
403 S INDIAN RD
Idabel, OK 74745
(580) 286-6688
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1730732926
403 S INDIAN RD
Idabel, OK 74745
(580) 286-6688
✔ PECOS✔ Accepts Medicare43 mi
General Practice
NPI 1649346545
403 S INDIAN RD
Idabel, OK 74745
(580) 286-6688
✔ PECOS✔ Accepts Medicare43 mi
Clinical Social Worker
NPI 1437593670
2809 NE LINCOLN RD
Idabel, OK 74745
(580) 286-6688
✔ PECOS✔ Accepts Medicare43 mi
Dentist
NPI 1720121908
6026 BATTIEST PICKENS RD
Broken Bow, OK 74728
(580) 447-2910
✔ PECOS43 mi
Family Practice
NPI 1518287226
4095 AMERICAN WAY
Memphis, TN 38118
(901) 271-9500
✔ PECOS✔ Accepts Medicare327 mi
General Practice
NPI 1679537443
913 S MAIN ST SUITE C
Del Rio, TX 78840
(830) 774-5534
✔ PECOS✔ Accepts Medicare450 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 37D2111588

Kiamichi Family Medical Center, Inc · Hugo, OK
Active · expires Apr 10, 2028
CLIA Number37D2111588
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorBeth Leader
Laboratory Phone(580) 326-9555
Laboratory LocationKiamichi Family Medical Center, Inc3004 E Jackson St, Hugo, OK 74743
CLIA data matches this NPI record on: Address 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 1902269012. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Kiamichi Family Medical Center, Inc located?

Kiamichi Family Medical Center, Inc is located at 3004 E. Jackson, Hugo, OK 74743. The listed phone number is (580) 326-9555.

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), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Kiamichi Family Medical Center, Inc. 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. The largest specialties are General Practice (3), Family Practice (2) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 37D2111588) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 2 other insurers 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 May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.