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NPI 1568491033

NPI 1568491033 : GREAT PLAINS OF SABETHA, INC. : SABETHA, KS

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General NPI Number Information
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    NPI Number           |    1568491033
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREAT PLAINS OF SABETHA, INC. 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    1115 MAIN ST 
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    City                 |    SABETHA
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    State                |    KS
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    Zip                  |    66534-1832
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    Country              |    US
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    Telephone            |    785-284-2141
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    Fax                  |    785-284-0022
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 247 
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    City                 |    SABETHA
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    State                |    KS
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    Zip                  |    66534
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    Country              |    US
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    Telephone            |    785-284-2141
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    Fax                  |    785-284-0022
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     GARRETT LEE COLGLAZIER 
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    Credential           |    RHIA
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    Telephone            |    785-284-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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