Organization
GREAT PLAINS OF REPUBLIC CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY GOFORTH (CFO)
(785) 527-6050
Entity
Organization
Contact information
Practice address
2420 G ST, BELLEVILLE, KS 66935-2400
(785) 527-2254
(785) 527-2501
Mailing address
2420 G ST, BELLEVILLE, KS 66935-2400
(785) 527-2254
(785) 527-2501
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HO79001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000198
BUE CROSS OF KANSAS
KS
05
—
100409140A
—
KS
Enumeration date
07/21/2006
Last updated
05/14/2025
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