Organization
PAWNEE MENTAL HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA M RAUB (PAYROLL AND 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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003919880058
—
KS
05
—
30003919880059
—
KS
Enumeration date
05/02/2023
Last updated
05/05/2023
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