Kickapoo Tribal Health Center
Kickapoo Tribal Health Center is a healthcare organization registered as Federally Qualified Health Center (FQHC) in Mcloud, OK, holding Type 2 (organization) NPI 1265518203 since 2006. The authorized official on file is Wayne Irion, Health Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265518203 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kickapoo Tribal Health Center |
| Practice address | 105365 S. HWY 102, BUILDING M, Mcloud, OK, 74851 |
| Phone | 4059642081 |
| Fax | 4059642053 |
| Enumeration date | 2006-10-31 |
| Last updated in NPPES | 2025-10-06 |
Authorized official
| Name | Wayne Irion |
|---|---|
| Title | Health Director |
| Phone | 4059642081 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 261QD0000X | Dental Clinic/Center | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 291U00000X | Clinical Medical Laboratory | Secondary | — | — |
| 261QR0200X | Radiology Clinic/Center | Secondary | — | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100700140A | Medicaid | OK | — |
Copy-ready billing details
Provider: Kickapoo Tribal Health Center NPI: 1265518203 Taxonomy: 261QF0400X (Federally Qualified Health Center (FQHC)) Address: 105365 S. HWY 102, BUILDING M, Mcloud, OK, 74851
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467458638 | Amber Davis | Individual | Medical Physician Assistant | Mcloud, OK |
| 1720172463 | Jeri Singleton | Individual | Pediatrics Physician | Mcloud, OK |
| 1194803346 | Kickapoo Tribal Health Center | Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Mcloud, OK |
| 1083898225 | Jana Karim | Individual | Obstetrics & Gynecology Physician | Mccloud, OK |
| 1225473531 | Evelyn Mcelrath | Individual | Dental Hygienist | Mcloud, OK |
| 1295622827 | Christian Brown | Individual | Dentist | Mcloud, OK |
| 1215810007 | Ariel Prather | Individual | Registered Dietitian | Mcloud, OK |
Verify this record
Cross-check NPI 1265518203 against the authoritative CMS record: view Kickapoo Tribal Health Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Kickapoo Tribal Health Center located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-06.