# GREAT PLAINS GERIATRICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710582903
- **Authorized official:** BEN RODARTE (CREDENTIALING/BILLING MANAGER)
- **Authorized official phone:** (720) 281-6172

## Contact information

- **Practice address:** 135 PONDEROSA AVE, HILL CITY, SD 57745-6057
- **Practice address phone:** (612) 987-1090
- **Mailing address:** 135 PONDEROSA AVE, HILL CITY, SD 57745-6057
- **Mailing address phone:** (612) 987-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 03/01/2023