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Organization Active NPI

Great Plains of Cheyenne Co. Inc

  • Critical Access Hospital
  • St Francis, KS
National Provider Identifier
1386758308
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
GREAT PLAINS OF CHEYENNE CO. INC
Practice address
210 W First Street
St Francis, KS 67756-0547
Phone
(785) 332-2104
Fax
(785) 332-3255
NPI assigned
Aug 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeremy Michael Clingenpeel
Title
Ceo
Phone
(785) 332-2104

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

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

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Hospital certification: CCN 17Z310

Medicare enrollment files
Legal name
GREAT PLAINS OF CHEYENNE CO INC
Doing business as
CHEYENNE COUNTY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
in KS
Enrollment address
210 W 1St St
Saint Francis, KS 67756-3540
Other Hospital Practice Location

All disclosed owners & managing parties 5

Medicare enrollment files

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

NameRoleSinceShare
Great Plains Health Alliance Inc Organization, Phillipsburg, KS Corporation 5% Or Greater Direct Ownership Interest Aug 13, 2019 100%
Heidi Tice Individual Corporate OfficerCfo Jan 20, 2017
Leslie C Lacy Individual Corporate OfficerVice President Oct 1, 2012
W-2 Managing EmployeeVice President Oct 1, 2012
Jeremy M Clingenpeel Individual Corporate OfficerCeo Jan 30, 2023
Corporate DirectorCeo Jan 30, 2023
W-2 Managing EmployeeCeo Jan 30, 2023
Curt Colson Individual Corporate OfficerPresident Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
Operational/Managerial Control Apr 1, 2022

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070206000655 KS Part a Provider - Critical Access Hospital 7517958523 Practice locations: Saint Francis, KS

National Provider Directory

National Provider Directory
Tax ID family
Great Plains of Cheyenne County Inc (7 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

NPPES NPI Registry

Primary practice location

210 W First Street
St Francis, KS 67756-0547

Mailing address

PO Box 547
210 W First Street
St Francis, KS 67756-0547
Phone (785) 332-2104

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
001645OtherKSBCBS

Other names 1

NPPES NPI Registry
  • Cheyenne County Hospital Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2023.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1386758308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "210 W FIRST STREET",
            "city": "ST FRANCIS",
            "state": "KS",
            "postal_code": "677560547",
            "telephone_number": "785-332-2104",
            "fax_number": "785-332-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FIRST STREET",
            "city": "ST FRANCIS",
            "state": "KS",
            "postal_code": "677560547",
            "telephone_number": "785-332-2104",
            "fax_number": "785-332-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS OF CHEYENNE CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "CLINGENPEEL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-332-2104"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001645",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne County Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cheyenne County Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Francis, KS

Sources for this page

Verify at the official NPI Registry.