NPIMap

Organization Active NPI

Cheyenne County Hospital Association Inc

Doing business as Sidney Regional Medical Center Extended Care

  • Skilled Nursing Facility
  • Sidney, NE
National Provider Identifier
1346468782
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
154002 Issued in NE
Legal business name
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
Doing business as
Sidney Regional Medical Center Extended Care
Practice address
549 Keller Dr
Sidney, NE 69162-1775
Phone
(308) 254-3314
Fax
(308) 254-3415
NPI assigned
Apr 23, 2007
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEYENNE COUNTY HOSPITAL ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelly K Utley
Title
Cfo
Phone
(308) 254-5064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 154002 NE
Skilled Nursing Facility 314000000X 154002 NE Primary

Addresses

Primary practice location

549 Keller Dr
Sidney, NE 69162-1775

Mailing address

1000 Pole Creek Xing
Sidney, NE 69162-2900
Phone (308) 254-5825

Other names 1

  • Sidney Regional Medical Center Extended Care Doing business as

National Provider Directory

National Provider Directory
Part of
Memorial Hospital

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1346468782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622900",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 KELLER DR",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621775",
            "telephone_number": "308-254-3314",
            "fax_number": "308-254-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "308-254-5064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "154002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "154002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Regional Medical Center Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.