Organization
GREAT PLAINS OF REPUBLIC CO., INC.
Active
Other names
Belleville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY GOFORTH (CFO)
(785) 527-2254
Entity
Organization
Contact information
Practice address
2337 G ST STE 100, BELLEVILLE, KS 66935-2462
(785) 527-2217
(785) 527-2800
Mailing address
2337 G ST STE 100, BELLEVILLE, KS 66935-2462
(785) 527-2217
(785) 527-2800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/11/2023
Last updated
05/14/2025
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