NPIMap

Organization Active NPI

Prairie View, Inc.

  • Psychiatric Residential Treatment Facility
  • Newton, KS
National Provider Identifier
1730242272
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0033048-001 Issued in KS
Legal business name
PRAIRIE VIEW, INC.
Practice address
1901 E 1St St
Newton, KS 67114-5010
Phone
(316) 284-6400
Fax
(316) 284-6491
NPI assigned
Dec 18, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcy Johnson
Title
President & Ceo
Phone
(316) 284-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 0033048-001 KS Primary

Addresses

Primary practice location

1901 E 1St St
Newton, KS 67114-5010

Mailing address

1901 E 1St St
P.O. Box 467
Newton, KS 67114-5010
Phone (316) 284-6400

Other identifiers 2

IdentifierTypeStateIssuer
000176OtherKSBLUE CROSS BLUE SHIELD
100005670JMedicaidKS

Other names 1

  • Prairie View, Inc-Residential Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730242272. Details of each certification follow.

  • CCN 17L010 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 17L010

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PRAIRIE VIEW, INC
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jan 12, 2010
Last certification
Jul 25, 2017
Beds
15
Ownership / control type
For profit – individual
Facility address
1901 E 1St Street
Newton, KS 67114

National Provider Directory

National Provider Directory
Tax ID family
Prairie View Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1730242272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "address_2": "P.O. BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "316-284-6400"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "0033048-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000176",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005670J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View, Inc-Residential",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prairie View, Inc-Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.