NPIMap

Organization Active NPI

Keefe Memorial Health Service District

Doing business as Keefe Memorial Hospital

  • Critical Access Hospital
  • Cheyenne Wells, CO
National Provider Identifier
1366840688
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
KEEFE MEMORIAL HEALTH SERVICE DISTRICT
Doing business as
Keefe Memorial Hospital
Practice address
602 N 6TH St W
Cheyenne Wells, CO 80810-5125
Phone
(719) 767-5661
NPI assigned
Dec 18, 2014
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Claressa Millsap
Title
Ceo
Phone
(719) 767-5661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

602 N 6TH St W
Cheyenne Wells, CO 80810-5125

Mailing address

PO Box 578
Cheyenne Wells, CO 80810-0578
Phone (719) 767-5661

Other names 1

  • Keefe Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150309002177 CO Part B Supplier - Clinic/Group Practice 8325364441 Receives reassigned benefits from 39 practitioners
2 other NPIs on this enrollment
Practice locations: Cheyenne Wells, CO; Kit Carson, CO
O20170522002532 CO Part A Provider - Critical Access Hospital 8325364441 Receives reassigned benefits from 20 practitioners
Practice locations: Cheyenne Wells, CO
O20170920004102 CO Part A Provider - Critical Access Hospital 8325364441 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cheyenne Wells, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1366840688. Details of each certification follow.

Hospital certification: CCN 061343

Legal name
KEEFE MEMORIAL HEALTH SERVICE DISTRICT
Doing business as
KEEFE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 25, 2017
Last certification
Oct 31, 2022
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
602 N 6TH St W
Cheyenne Wells, CO 80810-5125
Other Hospital Practice Location

Hospital certification: CCN 06Z343

Legal name
KEEFE MEMORIAL HEALTH SERVICE DISTRICT
Doing business as
KEEFE MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
602 N 6TH St W
Cheyenne Wells, CO 80810-5125
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Keefe Memorial HospitalCCN 061343 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Framel Individual Corporate Officer May 28, 2025
Corporate Director May 28, 2025
Casey L Halde Individual W-2 Managing EmployeeCfo Oct 13, 2021
Operational/Managerial ControlCfo Oct 13, 2021
Phillip Knudsen Individual Corporate Officer Apr 1, 2015
Corporate Director Apr 1, 2015
Wayne Caldwell Individual Corporate Officer Apr 1, 2015
Corporate Director Apr 1, 2015
Gregory Weed Individual Corporate Officer Apr 1, 2015
Corporate Director Apr 1, 2015
Claressa L Millsap Individual Corporate OfficerCeo Apr 21, 2022
W-2 Managing EmployeeCeo Apr 21, 2022
Operational/Managerial ControlCeo Apr 21, 2022
Harrison Nelson Individual Corporate Officer Apr 1, 2015
Corporate Director Apr 1, 2015

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

Affiliated clinicians 30

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1366840688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "CHEYENNE WELLS",
            "state": "CO",
            "postal_code": "808100578",
            "telephone_number": "719-767-5661",
            "fax_number": "719-767-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 6TH ST W",
            "city": "CHEYENNE WELLS",
            "state": "CO",
            "postal_code": "808105125",
            "telephone_number": "719-767-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEFE MEMORIAL HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "CLARESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-767-5661"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keefe Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keefe Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne Wells, CO

Sources for this page

Verify at the official NPI Registry.