Organization
KIAMICHI FAMILY MEDICAL CENTER INC.
Active
Organization
KIAMICHI FAMILY MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GILBREATH (CEO)
(580) 286-6688
Entity
Organization
Contact information
Practice address
2809 NE LINCOLN RD, IDABEL, OK 74745
(580) 286-6688
(580) 286-6699
Mailing address
2809 NE LINCOLN RD, IDABEL, OK 74745
(580) 286-6699
(580) 286-6699
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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