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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