# GREAT PLAINS OF CHEYENNE CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cheyenne County Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417988932
- **Authorized official:** JEREMY MICHAEL CLINGENPEEL (CEO)
- **Authorized official phone:** (785) 332-2104

## Contact information

- **Practice address:** 221 W FOURTH STREET, BIRD CITY, KS 67731
- **Practice address phone:** (785) 734-2306
- **Practice address fax:** (785) 734-2233
- **Mailing address:** 221 W FOURTH STREET, BIRD CITY, KS 67731-0211
- **Mailing address phone:** (785) 734-2306
- **Mailing address fax:** (785) 734-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 02/07/2023