Prairie Band Potawatomi Nation
Prairie Band Potawatomi Nation is a Federally Qualified Health Center (FQHC) in Mayetta, Kansas. Licensed in Kansas. Registered with an NPI since 2006.
- Licensed in
- KS
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
11400 158th RdMayetta, KS 66509-0249
Phone: (785) 966-8200
Fax: (785) 966-8393
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Health Service Clinic/Center | Taxonomy 261QH0100X (KS) |
Record details
| NPI number | 1245266410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Lewis — Business Office Manager · (785) 966-8282 |
| Other names | Prairie Band Potawatomi Health Center |
| NPI enumerated | June 22, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | June 1, 2022 |
| Mailing address | 11400 158th Rd, Mayetta, KS 66509-0249 |