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PRAIRIE BAND POTAWATOMI NATION

Medical Equipment Supplier Yellow Pages

Mayetta, Kansas

Provider NPI: 1952323958

Organization Information:
Organization Name:  PRAIRIE BAND POTAWATOMI NATION


Practice Location:
11400 158TH RD  MAYETTA, KS 66509 US
Tel: 866-727-6330  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
KS2-2546

Other Provider Identifiers:

IssuerNumberStateType
PK202726601
200259300BKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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