KEEFE MEMORIAL HOSPITAL (NPI# 1912904814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912904814 |
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 |
Practice Fax Number | 7197678042 |
Mailing Telephone | 7197675661 |
Mailing Fax Number | 7197678042 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2009-11-09 |
Authorized Official Name | CHARLENE KORRELL (CEO) |
Authorized Official Telephone | 7197675662 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 010232 | CO | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 05043005 | 05 |
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 |
1386895621 | Keefe Memorial Hospital | Medicare Defined Swing Bed Unit | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2008-10-06 |
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 |
---|---|---|---|---|
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 |
1386895621 | Keefe Memorial Hospital | Medicare Defined Swing Bed Unit | 602 North 6th Street West, Cheyenne Wells, CO 80810-0578 | 2008-10-06 |
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 | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194842930 | Kurt F Papenfus | General Acute Care Hospital | 602 N 6th Street West, Cheyenne Wells, CO 80810-0578 | 2007-03-25 |
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Find all providers with the same taxonomy |
City | CHEYENNE WELLS |
Zip Code | 80810 |
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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.