GREAT PLAINS OF CHEYENNE CO INC; NPI #1417988932

Contact Information

GREAT PLAINS OF CHEYENNE CO INC

221 W FOURTH STREET
BIRD CITY, KS 67731

Phone: 785-734-2306
Fax: 785-734-2233
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for GREAT PLAINS OF CHEYENNE CO INC

NPI # 1417988932

LBN Legal business name GREAT PLAINS OF CHEYENNE CO INC

Authorized official JEREMY CLINGENPEEL - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2006

Last updated 02/07/2023 - About 3 years ago

Identifiers

KS	Medicaid	30003937290002
	Other	110731	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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