Provider Demographics
NPI:1063454940
Name:GREAT PLAINS OF SMITH CO INC
Entity Type:Organization
Organization Name:GREAT PLAINS OF SMITH CO INC
Other - Org Name:SMITH COUNTY GENERAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-282-6845
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-0349
Mailing Address - Country:US
Mailing Address - Phone:785-282-6834
Mailing Address - Fax:785-282-3793
Practice Address - Street 1:921 E HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-9582
Practice Address - Country:US
Practice Address - Phone:785-282-6834
Practice Address - Fax:785-282-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110855Medicare ID - Type Unspecified