Healthcare Provider Details

I. General information

NPI: 1568557445
Provider Name (Legal Business Name): GREAT PLAINS OF PHILLIPS COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 STATE STREET
PHILLIPSBURG KS
67661-0607
US

IV. Provider business mailing address

1150 STATE STREET
PHILLIPSBURG KS
67661-0607
US

V. Phone/Fax

Practice location:
  • Phone: 785-543-5226
  • Fax: 785-543-6272
Mailing address:
  • Phone: 785-543-5226
  • Fax: 785-543-6272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberH-074-001
License Number StateKS

VIII. Authorized Official

Name: MS. HEATHER L. HARPER
Title or Position: ADMINISTRATOR
Credential: MHSA
Phone: 785-543-5226