Great Plains of Cheyenne Co. Inc
Organization Active NPI Critical Access Hospital · St Francis, KS
NPI 1992736458 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1992736458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- GREAT PLAINS OF CHEYENNE CO. INC
- Practice address
- 210 W 1St St
St Francis, KS 67756-0547 - Phone
- (785) 332-2104
- Fax
- (785) 332-3255
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeremy Michael Clingenpeel
- Title
- Ceo
- Phone
- (785) 332-2104
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 6
Related certifications (CCN) 3
Facilities with the same owner 29
Practitioners 68
-
Jesse Leesha Cahoj, MSN, FNP-C
-
Brian Joseph Jennings, M.D.
-
Heather Licke, MD
-
Jeffrey Michael Parsons, RN, APRN
-
Jose Luis Renteria, ACNP
-
Richard Wayne Hammack, NP-C
-
Robyn Jennings, M.D.
-
Jeremy J Brandt, PA-C
-
John Andrew Bukaty, D.O.
-
Heather Lynnette Frisbie, C.R.N.A.
-
Gabrielle Kristine Gienger, CPNP-AC
-
Nicholas Adam Isakson, CRNA
-
Gary B. Morsch, M.D.
-
Naveen Penmasta, MD
-
Kristle E Raile, PA
-
Tyler M Raile, PA
-
Robert Sourk, MD
-
Ronald Brent Williams, APRN
-
Keith Gist, CRNA
-
Charles M Hagedorn, CRNA
Affiliated clinicians 14
-
Jesse Leesha Cahoj, MSN, FNP-C
-
Travis M Daise, MD
-
Heather Licke, MD
-
Jeffrey Michael Parsons, RN, APRN
-
Kristle E Raile, PA
-
Jose Luis Renteria, ACNP
-
Jonathan Spellmeier, PA-C
-
Sean Denney, MD
-
Richard Wayne Hammack, NP-C
-
Roger J Simpson, M.D.
-
Matthew J Uyemura, M.D.
Medicare Care Compare: Hospital
- Listed as
- Cheyenne County Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
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
- Corporation · Non-profit
- Enrollment address
- 210 W 1St St
Saint Francis, KS 67756-3540
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Great Plains Health Alliance Inc |
5% Or Greater Direct Ownership Interest | Dec 13, 2000 | 100% |
| Operational/Managerial Control | Dec 13, 2000 | 100% | |
| Heidi Tice |
Corporate Officer |
Jan 20, 2017 | |
| Operational/Managerial Control |
Jan 20, 2017 | ||
| Jeremy M Clingenpeel |
Corporate Officer |
Jan 30, 2023 | |
| Corporate Director |
Jan 30, 2023 | ||
| W-2 Managing Employee |
Jan 30, 2023 | ||
| Curt Colson |
Corporate Officer | Apr 1, 2022 | |
| W-2 Managing Employee | Apr 1, 2022 | ||
| Operational/Managerial Control | Apr 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000678 | KS | Part a Provider - Critical Access Hospital | 7517958523 |
Receives reassigned benefits from 28 practitioners Practice locations: Saint Francis, KS |
National Provider Directory
- Tax ID family
- Great Plains of Cheyenne County Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
2083P0011X | |||
| Critical Access Hospital | 282NC0060X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127541 | Other | KS | UHC |
| 67773737 | Medicaid | CO | |
| 000162 | Other | KS | BCBS |
| 30003937290005 | Medicaid | KS | |
| 10025875200 | Medicaid | NE |
Other names
- Cheyenne County Hospital
Other providers in St Francis, KS
- Great Plains of Cheyenne Co Inc
- Great Plains of Cheyenne Co Inc
- Great Plains of Cheyenne Co. Inc
- Great Plains of Cheyenne Co. Inc
- Great Plains of Cheyenne Co. Inc
- Great Plains of Cheyenne County Inc.
- Great Plains of Cheyenne County Inc.
- Sarah Guthmiller
- Brandi Alane Ihrig
- Brian Joseph Jennings
All providers in St Francis, KS · Critical Access Hospital in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.