Prairie Band Potawatomi Nation

LBN: Prairie Band Potawatomi Nation
Prairie Band Potawatomi Nation is an health care organization with primary practice located at 11400 158Th Rd , Mayetta KS 66509-8866. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Prairie Band Potawatomi Nation can be contacted via phone (866) 727-6330, or through Carpenter, Mike via phone (785) 966-8266.

Contact Information

Primary practice address
11400 158Th Rd Mayetta KS 66509-8866
Phone: (866) 727-6330
Fax: (785) 966-8396
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Mike RPH
Phone: (785) 966-8266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 2-2546 Kansas

Profile Details

NPI number 1952323958
LBN Legal business name Prairie Band Potawatomi Nation
DBA Doing business as
Authorized official Carpenter, Mike RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jan 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952323958 NPPES
Other 2027266 PK
MEDICAID 200259300B PK

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