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Organization
PAWNEE MENTAL HLTH SERVICES
Active
Organization
PAWNEE MENTAL HLTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA RAUB (PAYROLL & CREDENTIALING MANAGER)
(785) 587-4300
Entity
Organization
Contact information
Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003919880001
—
KS
05
—
30003919880002
—
KS
05
—
30003919880003
—
KS
05
—
30003919880004
—
KS
05
—
30003919880005
—
KS
05
—
30003919880006
—
KS
05
—
30003919880007
—
KS
05
—
30003919880008
—
KS
05
—
30003919880009
—
KS
05
—
30003919880010
—
KS
05
—
30003919880011
—
KS
05
—
30003919880042
—
KS
05
—
30003919880043
—
KS
05
—
30003919880053
—
KS
05
—
30003919880056
—
KS
Enumeration date
07/10/2007
Last updated
05/05/2023
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