# GREAT PLAINS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Behavioral
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992023907
- **Authorized official:** STEVGE FILTON (SR VP CFO)
- **Authorized official phone:** (610) 768-3300

## Contact information

- **Practice address:** 1500 W ASHLAND ST, NEVADA, MO 64772-1710
- **Practice address phone:** (417) 448-5602
- **Practice address fax:** (417) 448-5688
- **Mailing address:** 1500 W ASHLAND ST, NEVADA, MO 64772-1710
- **Mailing address phone:** (417) 448-5602
- **Mailing address fax:** (417) 448-5688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 000076966 | MO | Yes |

## Other

- **Enumeration date:** 05/14/2010
- **Last updated:** 05/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 508321304 | — | MO |
