Healthcare Provider Details

I. General information

NPI: 1518251156
Provider Name (Legal Business Name): GREAT PLAINS HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 1ST ST SW STE A
CLARION IA
50525-1407
US

IV. Provider business mailing address

210 1ST ST SW STE A
CLARION IA
50525-1407
US

V. Phone/Fax

Practice location:
  • Phone: 515-532-5121
  • Fax:
Mailing address:
  • Phone: 515-532-5121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: AMBER L TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726