Kickapoo Nation Health Center

LBN: Kickapoo Nation Health Center
Kickapoo Nation Health Center is an health care organization with primary practice located at 1117 Goldfinch Road , Horton KS 66439. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Kickapoo Nation Health Center can be contacted via phone (785) 486-2154, or through Austin, Paul Kelly via phone (785) 486-2154.

Contact Information

Primary practice address
1117 Goldfinch Road Horton KS 66439
Phone: (785) 486-2154
Fax: (785) 486-2158
Website:
Map and Directions
Authorized official contact:
Name: Austin, Paul Kelly PHARM D
Phone: (785) 486-2154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1801058748
LBN Legal business name Kickapoo Nation Health Center
DBA Doing business as Kickapoo Nation Health Center
Authorized official Austin, Paul Kelly PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2008
Last updated Oct 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801058748 NPPES
Other 1718052 NABP
MEDICAID 200438190A NABP

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