Organization
KIAMICHI FAMILY MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GILBREATH (CEO)
(580) 241-5294
Entity
Organization
Contact information
Practice address
3004 E. JACKSON, HUGO, OK 74743-3821
(580) 326-9555
(580) 241-5739
Mailing address
6026 BATTIEST PICKENS RD, BROKEN BOW, OK 74728-5033
(580) 241-5294
(580) 241-5739
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
05/13/2025
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