Great Plains Clinic P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GREAT PLAINS CLINIC P.C.

Practice address

33 9TH St W
Dickinson, ND 58601-3950

Phone

(701) 483-6017

Fax

(701) 483-5018

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Becky S Roshau

Title

Office Supervisor

Phone

(701) 456-5115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1801092358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 9TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013950",
            "telephone_number": "701-483-6017",
            "fax_number": "701-483-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 9TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013950",
            "telephone_number": "701-483-6017",
            "fax_number": "701-483-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ROSHAU",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "701-456-5115"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17984",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon R Gordon, D.C.
• Grace & Wisdom Counseling PLLC
• Graceland Services LLC
• Gale S Graham
• Emily Gran
• Great Plains Clinic, PC
• Great Plains Restorative Services, LLC
• Christine T Greenwood
• Debra K Greenwood, RPH
• Linda Kathleen Gregory

• Ambulatory Surgical Clinic/Center in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Ambulatory Surgical Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.