Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kickapoo Tribal Health Center

Organization Dental Clinic/Center · NPI 1265518203

Kickapoo Tribal Health Center is a Dental Clinic/Center in McLoud, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6

Practice location Address checks out

105365 S Hwy 102 Bldg M
McLoud, OK 74851
Phone: (405) 964-2081
Fax: (405) 964-2053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dental Clinic/Center Taxonomy 261QD0000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Radiology Clinic/Center Taxonomy 261QR0200X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1265518203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Irion — Health Director · (405) 964-2081
NPI enumeratedOctober 31, 2006
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing addressPo Box 1360, McLoud, OK 74851-1360