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Organization
MERCY REGIONAL HEALTH CENTER, INC.
Active
Organization
MERCY REGIONAL HEALTH CENTER, INC.
Active
Other names
Pottawatomie County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. BROBERG (CEO)
(785) 776-2841
Entity
Organization
Contact information
Practice address
514 PLUM ST., WAMEGO, KS 66547-1830
(785) 456-9007
(785) 456-9701
Mailing address
PO BOX 336, WAMEGO, KS 66547-0336
(785) 456-9007
(785) 456-9701
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1545
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100265560H
—
KS
01
—
112001
BLUE CROSS
KS
Enumeration date
07/20/2005
Last updated
04/14/2010
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