Prairie Band Potawatomi Nation
NPI #1245266410 in Mayetta, Kansas
Provider Information
- NPI Number
- 1245266410
- Entity Type
- Organization
- Organization Name
- Prairie Band Potawatomi Nation
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- TIFFANY LEWIS
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (785) 966-8282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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