| Great Plains Of Cheyenne Co Inc | |
|
221 W Fourth Street Bird City KS 67731 | |
| (785) 734-2306 | |
| (785) 734-2233 |
| Full Name | Great Plains Of Cheyenne Co Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 W Fourth Street, Bird City, Kansas |
| Authorized Official Name and Position | Jeremy Michael Clingenpeel (CEO) |
| Authorized Official Contact | 7853322104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains Of Cheyenne Co Inc 221 W Fourth Street Bird City KS 67731-0211 Ph: (785) 734-2306 | Great Plains Of Cheyenne Co Inc 221 W Fourth Street Bird City KS 67731 Ph: (785) 734-2306 |
| NPI Number | 1417988932 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 7517958523 |
|---|---|
| Medicare Enrollment ID | O20060404000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417988932 | NPI | - | NPPES |
| 110731 | Other | BCBS | |
| 30003937290002 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |