Prairie Band Potawatomi Nation in Mayetta - Health Service

Prairie Band Potawatomi Nation - NPI 1245266410

Prairie Band Potawatomi Nation is a Health Service in Mayetta, Kansas. Prairie Band Potawatomi Nation practices all healthcare services and medical treatments related to Health Service. The NPI Number for Prairie Band Potawatomi Nation is 1245266410. The last update date is 2022-07-21.

Prairie Band Potawatomi Nation's current location address is 11400 158th Rd, Mayetta, Kansas. You can contact this provider via phone number 7859668200 and fax number 7859668393. The mailing address for Prairie Band Potawatomi Nation is 11400 158th Rd, Mayetta, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prairie Band Potawatomi Nation
Address 11400 158th Rd, Mayetta, Kansas
Phone Number 7859668200
Fax Number 7859668393
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS O
Authorized Official Name Lewis Tiffany
Telephone Number 7859668282

NPI Number Detail

NPI Number 1245266410
Provider Enumeration Date 2006-06-22
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 11400 158th Rd
City Mayetta
State Kansas (KS)
Post Code 665090249
Phone Number 7859668200
Fax Number 7859668393

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 261Qh0100X
Definition:
Provides general outpatient medical care by physicians and other providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200259300A KS --

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FAQs about Prairie Band Potawatomi Nation

What is the unique provider identifier assigned to Prairie Band Potawatomi Nation?

The Prairie Band Potawatomi Nation has been issued the NPI (National Provider Identifier) 1245266410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Prairie Band Potawatomi Nation is physically located?

The Prairie Band Potawatomi Nation is situated at the following address: 11400 158Th Rd, Mayetta, KS 665090249.

What is Prairie Band Potawatomi Nation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Prairie Band Potawatomi Nation's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 261Qh0100X.

On what date was the 1245266410 assigned to Prairie Band Potawatomi Nation?

The Prairie Band Potawatomi Nation was issued its 1245266410 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Prairie Band Potawatomi Nation most recently updated?

The details pertaining to the Prairie Band Potawatomi Nation, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.

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