# CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Health Center Home Health Colorado
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851508675
- **Authorized official:** MS. DANIELLE L GEARHART (CEO)
- **Authorized official phone:** (308) 254-5825

## Contact information

- **Practice address:** 900 CEDAR ST, JULESBURG, CO 80737-1121
- **Practice address phone:** (970) 474-9833
- **Practice address fax:** (970) 474-0905
- **Mailing address:** 900 CEDAR ST, JULESBURG, CO 80737-1121
- **Mailing address phone:** (970) 474-9833
- **Mailing address fax:** (970) 474-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PENDING LICENSURE | CO | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING CERTIFICATIO | — | CO |