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Kickapoo Tribal Health Center

Federally Qualified Health Center (FQHC) in Mcloud, OK · enumerated 2006 · authorized official Wayne Irion, Health Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265518203

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Registry record

Entity type Organization (Type 2)
Legal business name Kickapoo Tribal Health Center
Practice address 105365 S. Hwy 102, Building M, Mcloud, OK, 74851
Fax (405) 964-2053
Enumeration date Oct 31, 2006
Last updated in NPPES Oct 6, 2025

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Secondary
291U00000X Clinical Medical Laboratory Laboratories Secondary

Authorized official

Name Wayne Irion
Title Health Director

Other identifiers

Identifier Type State Issuer
100700140A Medicaid OK -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-06. Verify at npiregistry.cms.hhs.gov.
Where is Kickapoo Tribal Health Center located?
The practice location on file with NPPES is in Mcloud, OK.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-06.