NPI 1134642341

Great Plains Pho

Organisation Preferred Provider Organization North Platte, NE

Practice location

Address: 601 W Leota St, North Platte, NE 69101-6525
Phone: (308) 568-7496
Fax: (308) 535-3410
Mailing address: 601 W Leota St, North Platte, NE 69101-6598

Authorised official

Name: Krystal R. Claymore
Title: Senior Vp of Clinical Integration
Phone: (308) 568-7197

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Nebraska →

Registry record

NPI: 1134642341
Entity type: Organization
NPI issued: 19 Jul 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.