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 FIRST, SAINT FRANCIS, KS 67756-1075
(785) 332-2682
(785) 332-2516
Mailing address
221 W FIRST, PO BOX 1075, SAINT FRANCIS, KS 67756-1075
(785) 332-2682
(785) 332-2516
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110731
BCBS
KS
05
—
30003937290003
—
KS
05
—
38684748
—
CO
Enumeration date
06/07/2006
Last updated
02/07/2023
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