# CHEYENNE COUNTY HOSPITAL ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
- **Other names:** Sidney Regional Medical Center Extended Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346468782
- **Legal business name:** CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
- **Authorized official:** MS. KELLY K UTLEY (CFO)
- **Authorized official phone:** (308) 254-5064

## Contact information

- **Practice address:** 549 KELLER DR, SIDNEY, NE 69162-1775
- **Practice address phone:** (308) 254-3314
- **Practice address fax:** (308) 254-3415
- **Mailing address:** 1000 POLE CREEK XING, SIDNEY, NE 69162-2900
- **Mailing address phone:** (308) 254-5825
- **Mailing address fax:** (308) 254-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 154002 | NE | — |
| 314000000X | Skilled Nursing Facility | 154002 | NE | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 12/18/2015