Prairie Band Potawatomi Nation in Mayetta - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Prairie Band Potawatomi Nation - NPI 1952323958
Prairie Band Potawatomi Nation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Mayetta, Kansas. Prairie Band Potawatomi Nation practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Prairie Band Potawatomi Nation is 1952323958. The last update date is 2018-01-23.
Prairie Band Potawatomi Nation's current location address is 11400 158th Rd, Mayetta, Kansas. You can contact this provider via phone number 8667276330 and fax number 7859668396. 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 | 8667276330 |
| Fax Number | 7859668396 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF PHAR |
|---|---|
| Authorized Official Name | Carpenter Mike |
| Credentials | RPH |
| Telephone Number | 7859668266 |
NPI Number Detail
| NPI Number | 1952323958 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2018-01-23 |
Provider Mailing Address Detail
| Address | 11400 158th Rd |
|---|---|
| City | Mayetta |
| State | Kansas (KS) |
| Post Code | 665098866 |
| Phone Number | 8667276330 |
| Fax Number | 7859668396 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 2546-02-01 0 |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2027266 | PK | ||
| 200259300B | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Prairie Band Potawatomi Nation by the Centers for Medicare & Medicaid Services?
The Prairie Band Potawatomi Nation has been issued the NPI (National Provider Identifier) 1952323958, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Prairie Band Potawatomi Nation?
The Prairie Band Potawatomi Nation is physically situated at 11400 158Th Rd, in the city of Mayetta, state of KS, with the postal code 665098866.
What is Prairie Band Potawatomi Nation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prairie Band Potawatomi Nation's area of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 332800000X.
When was the Prairie Band Potawatomi Nation's 1952323958 issued?
The Prairie Band Potawatomi Nation's 1952323958 was issued on 2006-07-25.
When was the information pertaining to Prairie Band Potawatomi Nation most recently updated or revised?
The details related to Prairie Band Potawatomi Nation, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-23.
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