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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