GREAT PLAINS PHO


Address: 601 W Leota St, North Platte, NE 69101-6525
Phone: (308) 568-7496

GREAT PLAINS PHO (NPI# 1134642341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134642341
Entity Type Organization
Organization Name GREAT PLAINS PHO
Other Organization Name GREAT PLAINS HEALTH INNOVATION NETWORK
Practice Address 601 W Leota St
North Platte
NE 69101-6525
Mailing Address 601 W Leota St
North Platte
NE 69101-6598
Practice Telephone (308) 568-7496
Practice Fax Number 3085353410
Mailing Telephone 3085687496
Mailing Fax Number 3085353410
Enumeration Date 2017-07-19
Last Update Date 2017-07-19
Authorized Official Name MRS. KRYSTAL R. CLAYMORE (SENIOR VP OF CLINICAL INTEGRATION)
Authorized Official Telephone 3085687197
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Great Plains Health Innovation Network Doing Business As Name - Organization

Office Location

Street Address 601 W LEOTA ST
City NORTH PLATTE
State NE
Zip Code 69101-6525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689672040 Rick Allen Kukulka Radiology 601 W Leota St, North Platte, NE 69101-6525 2005-07-11
1669098687 Jessie Rose Thorup Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2020-06-25
1447898408 Shelby Rademacher Nurse Practitioner 601 W Leota St, North Platte, NE 69101-6525 2019-12-20
1952957102 Cecelia Rae Opela-sierks Nurse Practitioner 601 W Leota St, North Platte, NE 69101-6525 2019-08-14
1295299204 Alexander Donald Lucci Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2019-01-23
1679047708 Marisa Adlesich Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2019-01-11
1689146128 Jonathan Wade Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-12-21
1710452834 Nicholas Singer Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-10-04
1932694346 Elijah Samuel Vincent Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-06-27
1114418241 Lisa Elizabeth Kopf Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2018-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972017523 Rocky Mountain Holdings, LLC Ambulance 5570 E. Lee Bird Drive, Northe Platte, NE 69101 2017-11-18
1396297503 Karen L Gutherless Counselor 401 W Walker Road, North Platte, NE 69101 2016-11-04
1992165898 Laren Alden Roper Jr. Occupational Therapist 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 2016-03-04
1669733085 Stephanie Lynn Marcy Anesthesiology 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 2012-06-01
1033480470 Wb Counseling LLC Counselor 319 E. B St., North Platte, NE 69101 2012-01-17
1306114962 Amy J Kloess Occupational Therapist 8165 North Twin Lakes Rd, North Platte, NE 69101 2011-12-09
1043442312 Derek Walrod Dentist 1225 South Poplar, Suite 500, North Platte, NE 69101 2009-08-20
1033374525 Millie Erickson Urology 611 W. Francis St., Suite 200, North Platte, NE 69101 2008-07-23
1952586331 West Central District Health Department Public Health or Welfare 111 North Dewey Street, North Platte, NE 69101 2008-01-04
1558579698 Piper Dental Clinic Dentist 1919 West A Street, North Platte, NE 69101 2007-05-21
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467976308 Bryan Health Connect Preferred Provider Organization 2300 S 16th Street, Lincoln, NE 68502 2017-08-02
1720500374 Onehealth Nebraska, LLC Preferred Provider Organization 4600 Valley Rd Ste 250, Lincoln, NE 68510-4856 2017-07-14
1598835696 All Angels Incorporated Preferred Provider Organization 10805 Elm St, Omaha, NE 68144-4819 2006-11-08
1265975460 Comper Care Outpatient Center Inc Preferred Provider Organization 205 S 23rd St, Suite 1, Plattsmouth, NE 68048-2900 2016-11-21
1346793643 Sandra L. Parks, M.d., LLC Preferred Provider Organization 1123 N 10th St, Beatrice, NE 68310-2001 2016-08-03
1295187094 Dentistry for Heath Preferred Provider Organization 10365 Pacific St, Omaha, NE 68114-4713 2016-07-06
1407264419 Koch Chiropractic Clinic LLC Preferred Provider Organization 441 Broadway, Imperial, NE 69033-3162 2014-07-23
1649683145 T. Anderson Wigs Preferred Provider Organization 5421 N 103rd St, Suite 300, Omaha, NE 68134-1000 2014-06-03
1417227240 Peace Practice Psychology Center PC Preferred Provider Organization 1919 S 40th St, Ste 111, Lincoln, NE 68506-5243 2012-01-10
1639487424 Ihle Chiropractic Center Preferred Provider Organization 3800 Central Ave, Kearney, NE 68847-8134 2010-09-15
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Competitor

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City NORTH PLATTE
Zip Code 69101

Improve Information

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Dataset Information

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.

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