| Mirror, Inc. | |
|
130 E 5th St Newton KS 67114-2206 | |
| (316) 283-6743 | |
| (316) 283-6830 |
| Full Name | Mirror, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 130 E 5th St, Newton, Kansas |
| Authorized Official Name and Position | Elizabeth T Meitner (DIRECTOR OF UTILIZATION) |
| Authorized Official Contact | 3164006863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirror, Inc. 130 E 5th St Newton KS 67114-2206 Ph: (316) 283-6743 | Mirror, Inc. 130 E 5th St Newton KS 67114-2206 Ph: (316) 283-6743 |
| NPI Number | 1053431676 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431676 | NPI | - | NPPES |
| 014938 | Other | KS | BCBS OUTPATIENT |
| 100106710B | Medicaid | KS | |
| 100106710Q | Medicaid | KS | |
| 100106710C | Medicaid | KS | |
| 100106710L | Medicaid | KS | |
| 100106710R | Medicaid | KS | |
| 001402 | Other | KS | BCBS DAY TREATMENT |
| 100106710D | Medicaid | KS | |
| 100106710S | Medicaid | KS | |
| 100106710T | Medicaid | KS | |
| 100106710F | Medicaid | KS | |
| 100106710P | Medicaid | KS | |
| 200676050A | Medicaid | KS | |
| 100106710I | Medicaid | KS | |
| 100106710M | Medicaid | KS |
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