Great Plains Telehealth

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GREAT PLAINS TELEHEALTH

Practice address

3901 S College Park CT
Gillette, WY 82718-9441

Phone

(800) 787-1704

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chester Rall, APN

Title

Owner

Phone

(901) 626-4419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1851894810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2226",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "800-787-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S COLLEGE PARK CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189441",
            "telephone_number": "800-787-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "RALL",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-626-4419",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Marie Grande-Mathews
• Kyle Graves, PT, DPT
• Danielle Gray, PTA
• Haley D Gray
• Kristina Marie Gray, APRN PMHNP-BC
• Laurel Elizabeth Green, MD
• Misty L Griffitts-Tompsett, PBT(ASCP)
• Lori Jean Griswold, RPH
• Robert Grunfeld, M.D.
• Guardian Flight LLC

• Urgent Care Clinic/Center in Gillette, WY
• Providers in Gillette, WY by specialty
• Urgent Care Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.