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Prairie Band Potawatomi Nation
Land Ambulance in Mayetta, Kansas
NPI 1174577738

Prairie Band Potawatomi Nation is a Land Ambulance based in Mayetta, KS and is specialized in Land Transport. Prairie Band Potawatomi Nation practices in Mayetta, KS. The NPI Number for Prairie Band Potawatomi Nation is 1174577738 and holds a License No. 1555 (Kansas).

The current practice location address for Prairie Band Potawatomi Nation is 15468 K Rd, Mayetta, KS and can be reached out via phone at 785-966-2164.

Location: 15468 K Rd, Mayetta, KS, 66509-9093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174577738
Provider Name
Prairie Band Potawatomi Nation
Credential
Provider Entity Type
Organization
Address
15468 K Rd, Mayetta, KS, 66509-9093
Phone Number
785-966-2164
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112020 01 KS BLUE CROSS/BLUE SHIELD
100416330A 05 KS
institution
Provider Business Practice Location Address Details
Address
15468 K Rd
City
Mayetta
State
Kansas
Zip
66509-9093
Phone Number
785-966-2164
Fax Number
person
Provider Business Mailing Address Details
Address
15468 K Rd
City
Mayetta
State
Kansas
Zip
66509-9093
Phone Number
785-966-2164
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
1555 (Kansas)
Definition
Definition to come...
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