PRAIRIE BAND POTAWATOMI NATION (NPI# 1174577738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174577738 |
| Entity Type | Organization |
| Organization Name | PRAIRIE BAND POTAWATOMI NATION |
| Other Organization Name | POTAWATOMI TRIBAL FIRE DEPARTMENT |
| Practice Address |
15468 K Rd Mayetta KS 66509-9093 |
| Mailing Address |
15482 K Rd Mayetta KS 66509-9093 |
| Practice Telephone | 7859662164 |
| Mailing Telephone | 7859662164 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-07-20 |
| Authorized Official Name | LIANA ONNEN (TRIBAL CHAIRPERSON) |
| Authorized Official Telephone | 7859664007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1555 | KS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS/BLUE SHIELD | 112020 | 01 |
| KS | 100416330A | 05 |
| Other Name | Type Code |
|---|---|
| Potawatomi Tribal Fire Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245266410 | Prairie Band Potawatomi Nation | Clinic/Center | 11400 158th Rd, Mayetta, KS 66509-0249 | 2006-06-22 |
| 1952323958 | Prairie Band Potawatomi Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 11400 158th Rd, Mayetta, KS 66509-8866 | 2006-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRAIRIE BAND POTAWATOMI NATION | 16281 Q Rd, Mayetta, KS 66509-8970 |
| Street Address |
15468 K RD |
| City | MAYETTA |
| State | KS |
| Zip Code | 66509-9093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286113 | Mendy Lynn Thompson | Counselor | 11400 158th Road, Mayetta, KS 66509 | 2014-04-22 |
| 1699042010 | Cindy Kelly | Social Worker | 11400 158 Road, Mayetta, KS 66509 | 2011-11-30 |
| 1932306883 | Independent Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 14395 Hwy 75, Mayetta, KS 66509 | 2007-07-02 |
| 1851313050 | Royal Valley Usd 337 | Local Education Agency (LEA) | 101 W Main, Mayetta, KS 66509 | 2006-07-24 |
| 1053761668 | Charles G Beals | Dentist | 11400 158th Rd, Mayetta, KS 66509 | 2016-06-14 |
| 1063582443 | Randy J German | Dentist | 11400 158th Rd, Mayetta, KS 66509 | 2006-11-09 |
| 1558391995 | Michael E Carpenter | Pharmacist | 11400 158th Rd, Mayetta, KS 66509 | 2006-07-03 |
| 1679993018 | Norman David Arnold | Counselor | 11400 158th Rd., Mayetta, KS 66509-0174 | 2014-04-24 |
| 1043630650 | Elaine Mzhickteno Barr | Counselor | 11400 - 158th Road, Mayetta, KS 66509-0174 | 2014-04-22 |
| 1093037426 | Royal Valley | Local Education Agency (LEA) | 101 W Main, Mayetta, KS 66509-0219 | 2010-02-26 |
| Find all providers in zip 66509 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395351 | County of Pottawatomie | Ambulance | 406 Miller Dr # F, Wamego, KS 66547-1209 | 2017-06-06 |
| 1447795778 | County of Atchison | Ambulance | 10443 Us Highway 59, Atchison, KS 66002-9297 | 2016-12-22 |
| 1538611322 | City of Clearwater | Ambulance | 319 W Ross St, Clearwater, KS 67026-9477 | 2016-10-27 |
| 1578940789 | Burrton Consolidated Fire District #5 | Ambulance | 111 N Burrton Ave, Burrton, KS 67020-2009 | 2015-04-27 |
| 1144637489 | City of Winfield | Ambulance | 817 Fuller St, Winfield, KS 67156-2823 | 2014-07-18 |
| 1164862165 | Eaglemed LLC | Ambulance | 9025 4th St, Gbd Airport, Great Bend, KS 67530-9767 | 2013-07-05 |
| 1356781140 | Barton County Transfer Service Inc. | Ambulance | 309 W Front St, Claflin, KS 67525 | 2013-06-26 |
| 1184976912 | County of Sherman | Ambulance | 1006 Center St, Goodland, KS 67735-2935 | 2012-10-03 |
| 1912277112 | Town and Country Ems, LLC | Ambulance | 824 Oregon St, Suite C, Hiawatha, KS 66434-2293 | 2012-01-04 |
| 1891063681 | Techs Inc | Ambulance | 509 N 9th St, Osage City, KS 66523-1704 | 2011-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.