Organization
PRAIRIE VIEW, INC.
Active
Other names
Prairie View, Inc-Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY JOHNSON (PRESIDENT & CEO)
(316) 284-6400
Entity
Organization
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6491
Mailing address
1901 E 1ST ST, P.O. BOX 467, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6491
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
0033048-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000176
BLUE CROSS BLUE SHIELD
KS
05
—
100005670J
—
KS
Enumeration date
12/18/2006
Last updated
06/30/2023
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