Organization
GREAT PLAINS OF REPUBLIC COUNTY, INC.
Active
Other names
Republic County Hosp - CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE K MILLER (ADMINISTRATOR)
(785) 527-2254
Entity
Organization
Contact information
Practice address
2420 G ST, BELLEVILLE, KS 66935-2400
(785) 527-2254
(785) 527-2800
Mailing address
2420 G ST, BELLEVILLE, KS 66935-2400
(785) 527-2254
(785) 527-2800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012262
BLUE SHIELD OF KS
KS
05
—
100409140B
—
KS
Enumeration date
07/26/2006
Last updated
05/14/2025
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