Organization
GREAT PLAINS HOSPITAL
Active
Other names
Heartland Behavioral
Organization subpart
No
Provider details
NPI number
Authorized official
STEVGE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 448-5602
(417) 448-5688
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 448-5602
(417) 448-5688
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000076966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508321304
—
MO
Enumeration date
05/14/2010
Last updated
05/10/2011
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