Mercy Regional Health Center, Inc.
Organization Active NPI Ambulance · Wamego, KS
NPI 1609875665 · NPPES record last updated Apr 14, 2010
Key facts
- NPI
- 1609875665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1545 (KS)
- Legal business name
- MERCY REGIONAL HEALTH CENTER, INC.
- Practice address
- 514 Plum St.
Wamego, KS 66547-1830 - Phone
- (785) 456-9007
- Fax
- (785) 456-9701
- NPI assigned
- Jul 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John R. Broberg
- Title
- Ceo
- Phone
- (785) 776-2841
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Mercy Regional Health Center Inc
Locations
406 Miller Dr
#F
Wamego, KS 66547
Phone (785) 456-9700
514 Plum St
Wamego, KS 66547
Phone (785) 456-9007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1545 | KS | Yes |
Addresses
Primary practice location
514 Plum St.
Wamego, KS 66547-1830
Mailing address
PO Box 336
Wamego, KS 66547-0336
Phone (785) 456-9007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100265560H | Medicaid | KS | |
| 112001 | Other | KS | BLUE CROSS |
Other names
- Pottawatomie County EMS
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.