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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
Other Name | Type Code |
---|---|
Great Plains Health Innovation Network | Doing Business As Name - Organization |
Street Address |
601 W LEOTA ST |
City | NORTH PLATTE |
State | NE |
Zip Code | 69101-6525 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 69101 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
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---|---|---|---|---|
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 |
Find all providers with the same taxonomy |
City | NORTH PLATTE |
Zip Code | 69101 |
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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.