| Ki Bois Community Action Foundation | |
|
107 Mckinley St Eufaula OK 74432-3052 | |
| (918) 689-3265 | |
| (918) 689-3359 |
| Full Name | Ki Bois Community Action Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Mckinley St, Eufaula, Oklahoma |
| Authorized Official Name and Position | R. Carroll Huggins (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 9189673325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ki Bois Community Action Foundation Po Box 727 Stigler OK 74462-0727 Ph: (918) 967-3325 | Ki Bois Community Action Foundation 107 Mckinley St Eufaula OK 74432-3052 Ph: (918) 689-3265 |
| NPI Number | 1215099510 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215099510 | NPI | - | NPPES |
| 100680370T | Medicaid | OK | |
| 100707530E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01-1372703 (Oklahoma) | Primary |
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