Provider Demographics
NPI:1720212533
Name:GREAT PLAINS MEDICAL EQUIPMENT PROVIDERS, INC.
Entity Type:Organization
Organization Name:GREAT PLAINS MEDICAL EQUIPMENT PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SHEETS
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPA
Authorized Official - Phone:866-331-5841
Mailing Address - Street 1:12518 S 3RD CT
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-3383
Mailing Address - Country:US
Mailing Address - Phone:866-331-5841
Mailing Address - Fax:918-398-8195
Practice Address - Street 1:11855 N 207TH EAST AVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-1991
Practice Address - Country:US
Practice Address - Phone:918-283-2787
Practice Address - Fax:918-398-8195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies