Organization
PRAIRIE VIEW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY JOHNSON LCAC (PRESIDENT & CEO)
(316) 284-6310
Entity
Organization
Contact information
Practice address
1102 HOSPITAL DR, MCPHERSON, KS 67460-2318
(620) 245-5000
(620) 245-5099
Mailing address
PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
998
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005670D
—
KS
Enumeration date
09/06/2006
Last updated
06/30/2023
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