| Ki Bois Community Action Foundation | |
|
1407 Ne D St Stigler OK 74462-2815 | |
| (918) 967-4463 | |
| (918) 967-2594 |
| Full Name | Ki Bois Community Action Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1407 Ne D St, Stigler, 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 1407 Ne D St Stigler OK 74462-2815 Ph: (918) 967-4463 |
| NPI Number | 1801055942 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801055942 | NPI | - | NPPES |
| 100680370M | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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