Organization
GREAT PLAINS RESTORATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY P LORD (CEO)
(701) 530-4000
Entity
Organization
Contact information
Practice address
584 12TH ST W, DICKINSON, ND 58601-3509
(701) 456-4364
(701) 456-4642
Mailing address
584 12TH ST W, DICKINSON, ND 58601-3509
(701) 456-4364
(701) 456-4642
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
03/04/2025
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