PRAIRIE BAND POTAWATOMI NATION is a land transport ambulance in Mayetta, KS. PRAIRIE BAND POTAWATOMI NATION NPI is 1174577738. The provider is registered as an organization entity type.
The provider Is Doing Business As Potawatomi Tribal Fire Department.
The provider's business location address is:
15468 K RD
MAYETTA, KS
ZIP 66509-093
Phone: (785) 966-2164
The provider's authorized official is Liana Onnen .
The authorized official title is Tribal Chairperson and has the following contact phone number (785) 966-4007.
The CLIA number assigned to this NPI record is 17D0980594 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/20/2017.