Provider Demographics
NPI:1760683007
Name:CENTRAL PLAINS CENTER
Entity Type:Organization
Organization Name:CENTRAL PLAINS CENTER
Other - Org Name:TXHL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-293-2636
Mailing Address - Street 1:2700 YONKERS
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-1826
Mailing Address - Country:US
Mailing Address - Phone:806-293-2636
Mailing Address - Fax:806-296-5804
Practice Address - Street 1:405 ENNIS
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1826
Practice Address - Country:US
Practice Address - Phone:806-291-4450
Practice Address - Fax:806-291-4480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-07-25
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2008-07-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001010007Medicaid
TX001070007OtherTXHL