Kiamichi Family Medical Center Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

KIAMICHI FAMILY MEDICAL CENTER INC.

Practice address

1 SW Main St Ste 100
Idabel, OK 74745

Phone

(580) 286-6688

Fax

(580) 286-6699

NPI assigned

Nov 23, 2022

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Gilbreath, CEO

Title

Ceo

Phone

(580) 286-6688

Specialties & licenses 1

Addresses

Tax ID family

Kiamichi Family Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kiamichi Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hugo, OK
  • NPI 1902269012
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1194434688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S INDIAN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455458",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW MAIN ST STE 100",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "74745",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAMICHI FAMILY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "GILBREATH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-286-6688",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Khudoley
• Kiamchi Youth Services Inc
• Kiamichi Council on Alcohoism and Other Drug Abuse Inc.
• Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc. (Kiamichi Council)
• Kiamichi Family Medical Center Inc.
• Kiamichi Youth Services
• Kristen Clouse DNP, Pmhnp-BC, LLC
• Denise K Kuykendall, CM
• Song Y Lavalais, PHARMD
• Courtney Marie Lebrun

• Federally Qualified Health Center (FQHC) in Idabel, OK
• Providers in Idabel, OK by specialty
• Federally Qualified Health Center (FQHC) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.