GREAT PLAINS HOSPITAL (NPI# 1073641254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073641254 |
| Entity Type | Organization |
| Organization Name | GREAT PLAINS HOSPITAL |
| Other Organization Name | HEARTLAND BEHAVIORAL |
| Practice Address |
1500 W Ashland St Nevada MO 64772-1710 |
| Practice Telephone | 4176672666 |
| Practice Fax Number | 4174485689 |
| Mailing Telephone | 4176672666 |
| Mailing Fax Number | 4174485689 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | ALYSON HARDER (CEO) |
| Authorized Official Telephone | 4176672666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 508321304 | 05 |
| Other Name | Type Code |
|---|---|
| HEARTLAND BEHAVIORAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972167773 | Great Plains Hospital | Psychologist | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-04-26 |
| 1831444736 | Great Plains Hospital | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2012-07-17 |
| 1629380597 | Great Plains Hospital | Community Based Residential Treatment Facility, Mental Illness | 1500 W Ashland St, Nevada, MO 64772-1710 | 2010-07-08 |
| 1992023907 | Great Plains Hospital | Residential Treatment Facility, Emotionally Disturbed Children | 1500 W Ashland St, Nevada, MO 64772-1710 | 2010-05-14 |
| 1801114814 | Great Plains Hospital | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 W Ashland St, Nevada, MO 64772-1710 | 2010-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | GREAT PLAINS HOSPITAL, INC. | 2202 Timberloch Place, #107, The Woodlands, TX 77380 |
| Street Address |
1500 W ASHLAND ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069101 | Great Plains Hospital Inc | Psychiatric Hospital | 1500 W Ashland St, Nevada, MO 64772-1710 | 2005-08-09 |
| 1144831496 | Danielle Leann Rolph | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2020-08-11 |
| 1821628249 | Clara Michelle Lynn Sands | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2020-01-24 |
| 1316594559 | Renee Sydney Pendleton | Nurse Practitioner | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-08-22 |
| 1386205896 | Kelsey D. Tomlin | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-06-25 |
| 1972167773 | Great Plains Hospital | Psychologist | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-04-26 |
| 1295291672 | Jennifer K Doyle | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-02-11 |
| 1285125179 | Cynthia Graham I | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2018-05-25 |
| 1386133130 | Megan Kathleen Finkentey | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2018-05-08 |
| 1831617687 | Chrystie Lyn Braden | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245436765 | Rene Marie Duregger | Psychiatry & Neurology | 1500 W Ashland St, Nevada, MO 64772-1710 | 2007-06-22 |
| 1114061694 | Abdul Mateen | Psychiatry & Neurology | 1500 W Ashland St, Nevada, MO 64772-1710 | 2007-02-16 |
| 1326013228 | Candice A. Moore | Psychiatry & Neurology | 815 S Ash St, Nevada, MO 64772-3222 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
| 1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
| 1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
| 1912293861 | Barbara Buchanan | Psychiatry & Neurology | 16760 S Village Dr, Village of Loch Lloyd, MO 64012-4166 | 2011-06-20 |
| 1710187539 | Danielle Mcgovern Bradshaw | Psychiatry & Neurology | 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 | 2007-07-19 |
| 1689881567 | Pearl Fisher Serota | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-05-17 |
| 1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
| 1649325390 | Clifton A Smith | Psychiatry & Neurology | 5931 S Highway 94, Weldon Spring, MO 63304-5611 | 2007-01-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.