Provider Demographics
NPI:1629065883
Name:GREAT PLAINS HEALTH COMPANY
Entity Type:Organization
Organization Name:GREAT PLAINS HEALTH COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:406-237-5906
Mailing Address - Street 1:506 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-6003
Mailing Address - Country:US
Mailing Address - Phone:406-237-8906
Mailing Address - Fax:406-259-2797
Practice Address - Street 1:506 N 32ND ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-6003
Practice Address - Country:US
Practice Address - Phone:406-237-8906
Practice Address - Fax:406-259-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT18441332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT311550OtherBLUE CROSS AND BLUE SHIEL
MT5606753Medicaid
MT311550OtherBLUE CROSS AND BLUE SHIEL