# CHEYENNE COUNTY HSPTL ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891708525
- **Authorized official:** DANIELLE JOHNSON PHARM D (CEO)
- **Authorized official phone:** (308) 254-5070

## Contact information

- **Practice address:** 645 OSAGE ST, SIDNEY, NE 69162-1707
- **Practice address phone:** (308) 254-8094
- **Practice address fax:** (308) 254-8091
- **Mailing address:** 645 OSAGE ST, SIDNEY, NE 69162-1707
- **Mailing address phone:** (308) 254-8094
- **Mailing address fax:** (308) 254-8091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 2511 | NE | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 09/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025091000 | — | NE |
| 01 | — | 2054717 | PK | — |