Organization
GREAT PLAINS OF CHEYENNE CO. INC
Active
Other names
Cheyenne County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MICHAEL CLINGENPEEL (CEO)
(785) 332-2104
Entity
Organization
Contact information
Practice address
221 W FIRST, SAINT FRANCIS, KS 67756-0547
(785) 332-2381
(785) 332-8983
Mailing address
221 W FIRST, PO BOX 547, SAINT FRANCIS, KS 67756-0547
(785) 332-2381
(785) 332-8983
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100409190B
—
KS
01
—
110730
BCBS
KS
05
—
30003937290004
—
KS
05
—
57334331
—
CO
Enumeration date
07/05/2006
Last updated
02/07/2023
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