PRAIRIE BAND POTAWATOMI HEALTH CENTER
NPI 1245266410
Clinic/Center - Federally Qualified Health Center (FQHC) in Mayetta, KS
NPI Status: Active since June 22, 2006
Contact Information
11400 158TH RD
MAYETTA, KS
ZIP 66509
Phone: (785) 966-8200
Fax: (785) 966-8393
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About PRAIRIE BAND POTAWATOMI HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Prairie Band Potawatomi Health Center, a primary care provider established in Mayetta, Kansas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1245266410 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Prairie Band Potawatomi Health Center. The authorized official of this NPI record is Tiffany Lewis (Business Office Manager)
- NPI
- 1245266410
- Provider Legal Name
- PRAIRIE BAND POTAWATOMI NATION
- Other Organization Name
- PRAIRIE BAND POTAWATOMI HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11400 158TH RD MAYETTA, KS 66509
- Location Phone
- (785) 966-8200
- Location Fax
- (785) 966-8393
- Mailing Address
- 11400 158TH RD MAYETTA, KS 66509
- Mailing Phone
- (785) 966-8200
- Mailing Fax
- (785) 966-8393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 07-21-2022
- Code Navigator
A primary care provider (PCP) like Prairie Band Potawatomi Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | (KS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200259300A | MEDICAID (05) | KS |
Reviews for PRAIRIE BAND POTAWATOMI HEALTH CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 6 | 6 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 6 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 6 + 1 + 2 + 4 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245266410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063582443 | RANDY J GERMAN D.D.S. Individual | Dentist (General Practice) | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8205 |
| 1346467230 | DR. JAMES S BEAR JR. MD Individual | Family Medicine | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8200 |
| 1326499955 | MR. BRENDAN MICHAEL HANDY PHARMD Individual | Pharmacist | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8265 |
| 1952323958 | PRAIRIE BAND POTAWATOMI NATION Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 11400 158TH RD MAYETTA, KS 66509 (866) 727-6330 |
| 1679060776 | EDITH WAMEGO Individual | Behavior Technician | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8200 |
| 1558760983 | MR. WALTER ANTHONY SIEBERT LSCSW, LCAC Individual | Social Worker (Clinical) | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8353 |
| 1427132612 | NOLA AHLQUIST-TURNER ARNP Individual | Nurse Practitioner (Family) | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8228 |
| 1053761668 | CHARLES G BEALS D.D.S Individual | Dentist (General Practice) | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8290 |
| 1245267715 | STEPHEN E STEVENSON MD Individual | Family Medicine | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8200 |
| 1558391995 | MICHAEL E CARPENTER RPH Individual | Pharmacist | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8266 |
| 1669447330 | DR. JAMIE MULANAX JACOBSEN D.O. Individual | Family Medicine | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8200 |
| 1124826706 | LURA DANIELLE GOFF RN Individual | Registered Nurse | 11400 158TH RD MAYETTA, KS 66509 (785) 966-8200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245266410, enumerated in the NPI registry as an "organization" on June 22, 2006
The provider is located at 11400 158th Rd Mayetta, Ks 66509 and the phone number is (785) 966-8200
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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