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1901 E 1st St Newton KS 67114-5010 | |
| (316) 284-6400 | |
| (316) 284-6491 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1901 E 1st St, Newton, Kansas |
| Authorized Official Name and Position | Marcy Johnson (PRESIDENT/CEO) |
| Authorized Official Contact | 3162846310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1901 E 1st St Po Box 467 Newton KS 67114-5010 Ph: (316) 284-6400 | 1901 E 1st St Newton KS 67114-5010 Ph: (316) 284-6400 |
| NPI Number | 1083777585 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083777585 | NPI | - | NPPES |
| A001 | Other | KS | TRICARE |
| 000215 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100229030A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Kansas) | Primary |
| 283Q00000X | Psychiatric Hospital | (Kansas) | Secondary |
Newton Healthcare Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Medical Center Dr, Newton, KS 67114 Phone: 316-283-2700 | |
Ohalloran Play Therapy & Family Growth Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 6th St, Suite 140, Newton, KS 67114 Phone: 316-283-1142 Fax: 316-283-1142 | |