Organization
GREAT PLAINS RESTORATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PAUL LORD (CHIEF EXECUTIVE OFFICER)
(701) 530-4000
Entity
Organization
Contact information
Practice address
1212 E MAIN AVE, BISMARCK, ND 58501-4518
(701) 530-4000
(701) 530-4001
Mailing address
1212 E MAIN AVE, BISMARCK, ND 58501-4518
(701) 530-4000
(701) 530-4001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/11/2023
Last updated
01/27/2025
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