National Provider Identifier Database

GREAT PLAINS OF CHEYENNE CO INC
Rural Health


Contact Information

GREAT PLAINS OF CHEYENNE CO INC
221 W FOURTH STREET
BIRD CITY, KS67731
Phone: 785-734-2306
Fax: 785-734-2233
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for GREAT PLAINS OF CHEYENNE CO INC

NPI Number 1417988932
Legal business name
LBN
GREAT PLAINS OF CHEYENNE CO INC
Authorized official JEREMY CLINGENPEEL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 02/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 30003937290002
  • Other: 110731 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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