Prairie View, Inc-sed Waiver | |
1901 E 1st St Newton KS 67114-5010 | |
(316) 284-6400 | |
(316) 284-6491 |
Full Name | Prairie View, Inc-sed Waiver |
---|---|
Speciality | Psychiatric Hospital |
Location | 1901 E 1st St, Newton, Kansas |
Authorized Official Name and Position | Jessie Kaye (CEO) |
Authorized Official Contact | 31628464000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prairie View, Inc-sed Waiver 1901 E 1st St Newton KS 67114-5010 Ph: (316) 284-6400 | Prairie View, Inc-sed Waiver 1901 E 1st St Newton KS 67114-5010 Ph: (316) 284-6400 |
NPI Number | 1295881662 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295881662 | NPI | - | NPPES |
100005670K | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
Mirror, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 | |
Prairie View, Inc-partial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 1st St, Newton, KS 67114 Phone: 316-284-6400 Fax: 316-284-6491 | |
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Youthville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Broadway St, Newton, KS 67114 Phone: 316-283-1950 Fax: 316-283-9540 | |
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