Provider Demographics
NPI:1407572514
Name:GREAT PLAINS MENTAL HEALTH PARTNERS INC
Entity Type:Organization
Organization Name:GREAT PLAINS MENTAL HEALTH PARTNERS INC
Other - Org Name:GREAT PLAINS MENTAL HEALTH PARTNERS INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ECKHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:970-467-7707
Mailing Address - Street 1:12031 COUNTY ROAD X POINT 5
Mailing Address - Street 2:
Mailing Address - City:WELDONA
Mailing Address - State:CO
Mailing Address - Zip Code:80653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:BRUSH
Practice Address - State:CO
Practice Address - Zip Code:80723-2104
Practice Address - Country:US
Practice Address - Phone:970-467-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty