KEEFE MEMORIAL HOSPITAL (NPI# 1386895621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386895621 |
| Entity Type | Organization |
| Organization Name | KEEFE MEMORIAL HOSPITAL |
| Practice Address |
602 North 6th Street West Cheyenne Wells CO 80810-0578 |
| Mailing Address |
Po Box 578 Cheyenne Wells CO 80810-0578 |
| Practice Telephone | 7197675661 |
| Mailing Telephone | 7197675661 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | CHARLENE KORRELL (CEO) |
| Authorized Official Telephone | 7197675662 |
| Is Organization Subpart | Y |
| Parent Organization Name | KEEFE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 010232 | CO | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003067349 | Keefe Memorial Hospital | Clinic/Center | 615 W 5th N, Cheyenne Wells, CO 80810-0578 | 2008-10-06 |
| 1265692339 | Keefe Memorial Hospital | Clinic/Center | 102 E 2nd Ave, Kit Carson, CO 80825 | 2008-06-12 |
| 1912904814 | Keefe Memorial Hospital | General Acute Care Hospital | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2005-07-07 |
| 1194976431 | Keefe Memorial Hospital | Durable Medical Equipment & Medical Supplies | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2008-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KEEFE MEMORIAL HOSPITAL | 602 N 6th St W, Cheyenne Wells, CO 80810 |
| Street Address |
602 NORTH 6TH STREET WEST |
| City | CHEYENNE WELLS |
| State | CO |
| Zip Code | 80810-0578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904814 | Keefe Memorial Hospital | General Acute Care Hospital | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2005-07-07 |
| 1588188270 | Lauren Michelle Foster | Nurse Practitioner | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2017-08-03 |
| 1366840688 | Keefe Memorial Health Service District | General Acute Care Hospital | 602 North 6th Street West, Cheyenne Wells, CO 80810 | 2014-12-18 |
| 1700284007 | Keefe Memorial Health Service District | Medicare Defined Swing Bed Unit | 602 North 6th Street West, Cheyenne Wells, CO 80810 | 2014-12-18 |
| 1194976431 | Keefe Memorial Hospital | Durable Medical Equipment & Medical Supplies | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952281 | Steven Givan | Nurse Practitioner | 602 N 6th W, Cheyenne Wells, CO 80810 | 2016-06-07 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1497156467 | Inspire Consulting & Counseling, PC, LLC | Community/Behavioral Health | 80 E 1st N, Ste 3, Cheyenne Wells, CO 80810 | 2014-09-10 |
| 1871705756 | Cheyenne County Hospital District IIi | Nursing Facility/Intermediate Care Facility | 561 W 1st N, Cheyenne Wells, CO 80810 | 2007-05-04 |
| 1053437046 | Percelina Mendoza | Physical Therapist | Keefe Memorial Hospital, 602 North 6th West, Cheyenne Wells, CO 80810 | 2007-03-21 |
| 1386706505 | County of Cheyenne | Public Health or Welfare | 560 W 6 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
| 1962564005 | Linda Roth | Registered Nurse | 615 W 5 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
| 1689736761 | Kelli Dawn Adamson | Registered Nurse | 615 W 5 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
| 1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1952936270 | Centennial Mental Health Center, Inc. | Clinic/Center | 80 E 1st Street, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| Find all providers in zip 80810 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700284007 | Keefe Memorial Health Service District | Medicare Defined Swing Bed Unit | 602 North 6th Street West, Cheyenne Wells, CO 80810 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037990 | Southwest Health System, Inc. | Medicare Defined Swing Bed Unit | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2020-09-09 |
| 1306496674 | Delta County Memorial Hospital | Medicare Defined Swing Bed Unit | 1501 E 3rd St, Delta, CO 81416-2815 | 2019-09-18 |
| 1689023871 | Gunnison Valley Hospital | Medicare Defined Swing Bed Unit | 711 N Taylor St, Gunnison, CO 81230-2243 | 2016-06-08 |
| 1073961413 | Arkansas Valley Regional Medical Center Swing Bed | Medicare Defined Swing Bed Unit | 1100 Carson Ave, La Junta, CO 81050-2751 | 2016-05-26 |
| 1295159028 | Catholic Health Initiatives Colorado | Medicare Defined Swing Bed Unit | 340 Peak One Drive, Frisco, CO 80443-0738 | 2014-02-14 |
| 1609003250 | Lutheran Hospital Association of The San Luis Valley | Medicare Defined Swing Bed Unit | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2009-06-22 |
| 1033374756 | Haxtun Hospital District | Medicare Defined Swing Bed Unit | 235 W Fletcher, Haxtun, CO 80731-2737 | 2008-07-22 |
| 1790956571 | Upper San Juan Health Service District | Medicare Defined Swing Bed Unit | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2008-03-19 |
| 1831312925 | Wray Community Hospital Assn Inc | Medicare Defined Swing Bed Unit | 1017 W 7th St, Wray, CO 80758-1420 | 2007-04-10 |
| 1336263417 | Yuma District Hospital | Medicare Defined Swing Bed Unit | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | CHEYENNE WELLS |
| Zip Code | 80810 |
Please comment or provide details below to improve the information on KEEFE MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.