Provider Demographics
NPI:1598328387
Name:GREAT PLAINS OF SABETHA, INC.
Entity Type:Organization
Organization Name:GREAT PLAINS OF SABETHA, INC.
Other - Org Name:SABETHA FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:785-284-2121
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534-0247
Mailing Address - Country:US
Mailing Address - Phone:785-284-2141
Mailing Address - Fax:785-284-0022
Practice Address - Street 1:1115 MAIN ST
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-1832
Practice Address - Country:US
Practice Address - Phone:785-284-2141
Practice Address - Fax:785-284-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health