SSM Health Medical Group Shawnee Kickapoo Clinic – Rural Health Clinic/Center, NPI 1093395618

SSM Health Medical Group Shawnee Kickapoo Clinic is a healthcare provider. based in Shawnee, Oklahoma. specializing in Rural Health Clinic/Center. The NPI Number for SSM Health Medical Group Shawnee Kickapoo Clinic is 1093395618

Main info

Organization
Name
SSM Health Medical Group Shawnee Kickapoo Clinic
NPI
1093395618
Phone
(405) 273-6383
Address
3700 N KICKAPOO AVE
Authorized Official
SHASTA RENE MANUEL VICE PRESIDENT - FINANCE
Enumeration Date
8 April 2021
Last Update Date
27 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for SSM Health Medical Group Shawnee Kickapoo Clinic

  • 3700 N KICKAPOO AVE

    SHAWNEE, OK 748041707

    Phone: (405) 273-6383

    Fax: (405) 273-3748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74804)

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Reviews

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Frequently asked questions

Does SSM Health Medical Group Shawnee Kickapoo Clinic have a public NPI I can cite?
Public records show SSM Health Medical Group Shawnee Kickapoo Clinic under NPI 1093395618.
Quick check: is SSM Health Medical Group Shawnee Kickapoo Clinic active?
Public NPPES data shows SSM Health Medical Group Shawnee Kickapoo Clinic with an active NPI status right now.
What does the directory say SSM Health Medical Group Shawnee Kickapoo Clinic does?
Insurance directories may phrase it differently, but here SSM Health Medical Group Shawnee Kickapoo Clinic maps to Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SSM Health Medical Group Shawnee Kickapoo Clinic?
SSM Health Medical Group Shawnee Kickapoo Clinic is associated with Shawnee, Oklahoma in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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