# MERCY REGIONAL HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pottawatomie County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609875665
- **Authorized official:** MR. JOHN R. BROBERG (CEO)
- **Authorized official phone:** (785) 776-2841

## Contact information

- **Practice address:** 514 PLUM ST., WAMEGO, KS 66547-1830
- **Practice address phone:** (785) 456-9007
- **Practice address fax:** (785) 456-9701
- **Mailing address:** PO BOX 336, WAMEGO, KS 66547-0336
- **Mailing address phone:** (785) 456-9007
- **Mailing address fax:** (785) 456-9701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1545 | KS | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 04/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100265560H | — | KS |
| 01 | — | 112001 | BLUE CROSS | KS |