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Organization
GREAT PLAINS OF CHEYENNE CO. INC
Active
Organization
GREAT PLAINS OF CHEYENNE CO. INC
Active
Other names
Cheyenne County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MICHAEL CLINGENPEEL (CEO)
(785) 332-2104
Entity
Organization
Contact information
Practice address
210 W FIRST, ST FRANCIS, KS 67756-0547
(785) 332-2104
(785) 332-3255
Mailing address
210 W FIRST, ST FRANCIS, KS 67756-0547
(785) 332-2104
(785) 332-3255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110731
BLUE SCHIELD
KS
01
—
127541
UHC
—
05
—
30003937290008
—
KS
05
—
40155064
—
CO
Enumeration date
10/06/2006
Last updated
02/07/2023
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