Provider Demographics
NPI:1568557445
Name:GREAT PLAINS OF PHILLIPS COUNTY, INC.
Entity Type:Organization
Organization Name:GREAT PLAINS OF PHILLIPS COUNTY, INC.
Other - Org Name:PHILLIPS COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:785-543-5226
Mailing Address - Street 1:1150 STATE STREET
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-0607
Mailing Address - Country:US
Mailing Address - Phone:785-543-5226
Mailing Address - Fax:785-543-6272
Practice Address - Street 1:1150 STATE STREET
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661-0607
Practice Address - Country:US
Practice Address - Phone:785-543-5226
Practice Address - Fax:785-543-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-074-001313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility