NPIMap

Organization Active NPI

Great Plains of Republic Co., Inc.

  • Critical Access Hospital
  • Belleville, KS
National Provider Identifier
1396765145
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
HO79001 Issued in KS
Legal business name
GREAT PLAINS OF REPUBLIC CO., INC.
Practice address
2420 G St
Belleville, KS 66935-2400
Phone
(785) 527-2254
Fax
(785) 527-2501
NPI assigned
Jul 21, 2006
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wesley Goforth
Title
Cfo
Phone
(785) 527-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X HO79001 KS Primary

Addresses

Primary practice location

2420 G St
Belleville, KS 66935-2400

Mailing address

2420 G St
Belleville, KS 66935-2400
Phone (785) 527-2254

Other identifiers 2

IdentifierTypeStateIssuer
000198OtherKSBUE CROSS OF KANSAS
100409140AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000710 KS Part A Provider - Critical Access Hospital 0446211684 Receives reassigned benefits from 12 practitioners
Practice locations: Belleville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396765145. Details of each certification follow.

Hospital certification: CCN 171361

Legal name
GREAT PLAINS OF REPUBLIC CO INC
Doing business as
REPUBLIC COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2003
Last certification
Jul 24, 2018
Beds
35 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
2420 G Street
Belleville, KS 66935-2400
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Republic County HospitalCCN 171361 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Great Plains of Republic County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2420 G St
Belleville, KS 66935
Phone (785) 527-2254

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Great Plains of Republic Co Inc Organization, Belleville, KS Operational/Managerial Control Sep 18, 2007
John Terrill Individual Corporate Director Sep 18, 2007
Great Plains Health Alliance Inc Organization, Wichita, KS Operational/Managerial Control Apr 1, 2013 100%
Steve L Carlson Individual Corporate Director May 8, 2006
Daniel J Kelly Individual Corporate OfficerCeo Oct 28, 2020 100%
W-2 Managing EmployeeCeo Oct 28, 2020 100%
Wesley Goforth Individual Corporate OfficerCfo Jun 1, 2025 100%
W-2 Managing EmployeeCfo Jun 1, 2025
Roger S John Individual Corporate DirectorBoard Member Jan 21, 2021
Curt Colson Individual Corporate DirectorBoard Member Apr 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 32

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1396765145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 G ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352400",
            "telephone_number": "785-527-2254",
            "fax_number": "785-527-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 G ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352400",
            "telephone_number": "785-527-2254",
            "fax_number": "785-527-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS OF REPUBLIC CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-527-6050"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "HO79001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUE CROSS OF KANSAS",
            "identifier": "000198",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, KS

Sources for this page

Verify at the official NPI Registry.