# SHEPHERD OF THE PLAINS FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Shepherd's Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831223270
- **Authorized official:** MS. JEAN ELIZABETH BRYANT RN ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (620) 855-3498

## Contact information

- **Practice address:** 706 N. MAIN, CIMARRON, KS 67835-0249
- **Practice address phone:** (620) 855-3498
- **Practice address fax:** (620) 855-2381
- **Mailing address:** 706 N. MAIN, P.O. BOX 249, CIMARRON, KS 67835-0249
- **Mailing address phone:** (620) 855-3498
- **Mailing address fax:** (620) 855-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NO35002 | KS | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 06/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100109530A | — | KS |
