Organization
PAWNEE MENTAL HEALTH 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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003919880044
—
KS
05
—
30003919880045
—
KS
05
—
30003919880046
—
KS
05
—
30003919880047
—
KS
05
—
30003919880049
—
KS
05
—
30003919880050
—
KS
05
—
30003919880051
—
KS
05
—
30003919880052
—
KS
05
—
30003919880054
—
KS
05
—
30003919880055
—
KS
05
—
30003919880057
—
KS
Enumeration date
07/10/2007
Last updated
05/05/2023
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