Organization
PRAIRIE VIEW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY JOHNSON (PRESIDENT/CEO)
(316) 284-6310
Entity
Organization
Contact information
Practice address
1901 EAST FIRST ST, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6491
Mailing address
1901 EAST FIRST ST, PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6491
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000176
BLUE CROSS BLUE SHIELD
KS
05
—
100005670A
—
KS
05
—
100005670L
—
KS
05
—
100005670M
—
KS
01
—
A001
TRI CARE
KS
Enumeration date
02/01/2006
Last updated
06/30/2023
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