Healthcare Provider Details

I. General information

NPI: 1366840688
Provider Name (Legal Business Name): KEEFE MEMORIAL HEALTH SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N 6TH ST W
CHEYENNE WELLS CO
80810-5125
US

IV. Provider business mailing address

PO BOX 578
CHEYENNE WELLS CO
80810-0578
US

V. Phone/Fax

Practice location:
  • Phone: 719-767-5661
  • Fax:
Mailing address:
  • Phone: 719-767-5661
  • Fax: 719-767-8042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CLARESSA MILLSAP
Title or Position: CEO
Credential:
Phone: 719-767-5661