KIAMICHI FAMILY MEDICAL CENTER INC. – NPI #1184633786
Clinic/Center

KIAMICHI FAMILY MEDICAL CENTER INC. is an AHC clinic located in IDABEL, OK. NPPES has assigned the NPI number 1184633786 to KIAMICHI FAMILY MEDICAL CENTER INC. on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on May 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIAMICHI FAMILY MEDICAL CENTER INC. below.

NPI Profile for
KIAMICHI FAMILY MEDICAL CENTER INC.

NPI Number
1184633786
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIAMICHI FAMILY MEDICAL CENTER INC.
Primary location
2809 NE LINCOLN RD
IDABEL, OK 74745-2421
Phone: (580) 286-6688 Fax: (580) 286-6699
Mailing address
601 SE WASHINGTON ST
IDABEL, OK 74745-3319
Phone: (580) 286-6688 Fax: (580) 286-6699
Organization Subpart
No
Authorized Official
AMY GILBREATH
CEO
Phone: (580) 241-5294
Updated
Certification Date
May 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIAMICHI FAMILY MEDICAL CENTER INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK200003420C
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.