NPIMap

Organization Active NPI

Great Plains of Cheyenne Co. Inc

Doing business as Cheyenne County Hospital

  • Critical Access Hospital
  • Saint Francis, KS
National Provider Identifier
1992736458
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
Doing business as
Cheyenne County Hospital
Practice address
210 W 1St St
St Francis, KS 67756-0547
Phone
(785) 332-2104
Fax
(785) 332-3255
NPI assigned
Jul 5, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X

Addresses

Primary practice location

210 W 1St St
St Francis, KS 67756-0547

Mailing address

210 W 1St St
PO Box 547
St Francis, KS 67756-0547
Phone (785) 332-2104

Other identifiers 5

IdentifierTypeStateIssuer
30003937290005MedicaidKS
10025875200MedicaidNE
127541OtherKSUHC
000162OtherKSBCBS
67773737MedicaidCO

Other names 1

  • Cheyenne County Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000678 KS Part A Provider - Critical Access Hospital 7517958523 Receives reassigned benefits from 28 practitioners
Practice locations: Saint Francis, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992736458. Details of each certification follow.

Hospital certification: CCN 171310

Legal name
GREAT PLAINS OF CHEYENNE CO INC
Doing business as
CHEYENNE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 26, 1996
Last certification
Sep 23, 2016
Beds
16
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2002 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
210 W 1St St
Saint Francis, KS 67756-3540
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cheyenne County HospitalCCN 171310 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Great Plains of Cheyenne County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 4

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, Wichita, KS Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 13, 2000 100%
Operational/Managerial Control Dec 13, 2000 100%
Heidi Tice Individual Corporate OfficerCfo Jan 20, 2017
Operational/Managerial ControlCfo Jan 20, 2017
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 Officer Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
Operational/Managerial Control Apr 1, 2022

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 61

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 61

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1992736458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST",
            "address_2": "PO BOX 547",
            "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 1ST ST",
            "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": "2006-07-05",
        "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
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003937290005",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025875200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "127541",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000162",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67773737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cheyenne County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Francis, KS

Sources for this page

Verify at the official NPI Registry.