| Organization Name: | GREAT PLAINS HOSPICE/CENTENNIAL PARK |
| NPI Number: | 1447522487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY A NIELSEN (PRESIDENT AND CEO) |
| Mailing Address: | 600 E Francis St Suite 8&9 North Platte |
| State: | NE US |
| Postal Code: | 691016796 |
| Phone Number: | 3086967434 |
| Fax Number: | 3086967407 |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOSPICE19 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |