NPIMap

Organization Active NPI

Cheyenne County Hospital Association Inc

  • Community Based Hospice Care Agency
  • Sidney, NE
National Provider Identifier
1457419954
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOSPICE 28 Issued in NE
Legal business name
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
Practice address
1625 Dorwart Dr
Ste a
Sidney, NE 69162-2505
Phone
(308) 254-3273
Fax
(308) 254-4225
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
CHEYENNE COUNTY HOSPITAL ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOSPICE 28 NE Primary

Addresses

Primary practice location

1625 Dorwart Dr
Ste a
Sidney, NE 69162-2505

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
10025149100MedicaidNE

Other names 1

  • Sidney Regional Medical Center Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Memorial Health Center

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1457419954",
    "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": "308-254-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "address_2": "STE A",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-3273",
            "fax_number": "308-254-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-10-17",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "HOSPICE 28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025149100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Regional Medical Center Hospice",
            "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 Oct 17, 2016; 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.