Organization
CHEYENNE COUNTY HOSPITAL DISTRICT III
Active
Other names
Cheyenne Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY BOWEN (ADMINISTRATOR)
(719) 767-5602
Entity
Organization
Contact information
Practice address
561 W 1ST N, CHEYENNE WELLS, CO 80810
(719) 767-5602
(719) 767-5999
Mailing address
PO BOX 938, CHEYENNE WELLS, CO 80810
(719) 767-5602
(719) 767-5999
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05654520
—
CO
Enumeration date
05/04/2007
Last updated
08/22/2020
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