NPIMap

Organization Active NPI

Cheyenne County Hospital Association Inc.

Doing business as Memorial Health Center Hospice Colorado

  • Community Based Hospice Care Agency
  • Julesburg, CO
National Provider Identifier
1649489022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0030 Issued in CO
Legal business name
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC.
Doing business as
Memorial Health Center Hospice Colorado
Practice address
900 Cedar St
Julesburg, CO 80737-1121
Phone
(970) 474-9833
Fax
(970) 474-0905
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dannielle L Gearhart
Title
Ceo
Phone
(308) 254-5825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0030 CO Primary

Addresses

Primary practice location

900 Cedar St
Julesburg, CO 80737-1121

Mailing address

900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-9833

Other identifiers 1

IdentifierTypeStateIssuer
PENDS CERTIFICATIONMedicaidCO

Other names 1

  • Memorial Health Center Hospice Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649489022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-9833",
            "fax_number": "970-474-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-9833",
            "fax_number": "970-474-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "DANNIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-254-5825",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "0030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDS CERTIFICATION",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Health Center Hospice Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Julesburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.