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Organization

GREAT PLAINS OF CHEYENNE CO INC

Active
Other names
Cheyenne County Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY MICHAEL CLINGENPEEL (CEO)
(785) 332-2104
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110731
BCBS
05
30003937290002
KS
Enumeration date
07/05/2006
Last updated
02/07/2023
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