Kickapoo Tribe in Kansas
Organization Active NPI Federal Public Health Clinic/Center · Horton, KS
NPI 1992806012 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1992806012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- Legal business name
- KICKAPOO TRIBE IN KANSAS
- Practice address
- 1117 Goldfinch Rd
Horton, KS 66439-9537 - Phone
- (785) 915-9751
- Fax
- (785) 329-4798
- NPI assigned
- Sep 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- KICKAPOO TRIBE IN KANSAS
Authorized official
- Name
- Jonnah D McKinney
- Title
- Administrator
- Phone
- (785) 915-9751
Corporate family (same tax ID) 1
Practitioners 9
-
Michelle Lynne Koch, ARNP-C
-
Leslie Jolene Walters, LMSW
-
Darin E Coash, PHARMD
-
Kayla McLinn, PHARMD
-
Angelica Pearce, TLMFT
-
Guy Williams, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151125000247 | TX | Part B Supplier - Clinic/Group Practice | 0749228930 |
Receives reassigned benefits from 2 practitioners Practice locations: Horton, KS |
National Provider Directory
- Tax ID family
- Kickapoo Nation Health Center
- Part of
- Kickapoo Nation Health Center
Locations
1117 Goldfinch Rd
Horton, KS 66439
Phone (785) 486-2154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | Yes |
Addresses
Primary practice location
1117 Goldfinch Rd
Horton, KS 66439-9537
Mailing address
1117 Goldfinch Rd
Horton, KS 66439-9537
Phone (785) 915-9751
Other names
- Kickapoo Nation Health Center
Other providers in Horton, KS
- Bradley G Farr
- Gary Lee Hochstetler
- Horton Family Medicine
- Danielle Marie Keepes
- Kickapoo Nation Health Center
- Kidwell Chiropractic LLC
- Ashley Thomas Kidwell
- Michelle Lynne Koch
- Jaycee McAfee
- Kayla McLinn
All providers in Horton, KS · Federal Public Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.