Provider Demographics
NPI:1215125372
Name:PLAINSMEN HEALTH SERVICES INC.
Entity type:Organization
Organization Name:PLAINSMEN HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYPAT
Authorized Official - Middle Name:BLUM
Authorized Official - Last Name:DWYER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:785-218-1694
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:14000 23RD STREET SUITE 1A
Mailing Address - City:PERRY
Mailing Address - State:KS
Mailing Address - Zip Code:66073-0221
Mailing Address - Country:US
Mailing Address - Phone:785-218-5077
Mailing Address - Fax:
Practice Address - Street 1:14000 23RD ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:PERRY
Practice Address - State:KS
Practice Address - Zip Code:66073-4046
Practice Address - Country:US
Practice Address - Phone:785-218-1694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty