Healthcare Provider Details

I. General information

NPI: 1558077396
Provider Name (Legal Business Name): CHEYENNE COUNTY HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 POLE CREEK XING STE 237
SIDNEY NE
69162-2901
US

IV. Provider business mailing address

1000 POLE CREEK XING
SIDNEY NE
69162-2901
US

V. Phone/Fax

Practice location:
  • Phone: 308-254-5065
  • Fax:
Mailing address:
  • Phone: 308-254-5065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER JOHN SCHLAMAN
Title or Position: PHARMACY MANAGER
Credential: PHARMD, RPH
Phone: 308-254-9149