| Ecmc Rural Health Clinic Ellsworth | |
|
1602 N Aylward Ave Ellsworth KS 67439-2541 | |
| (785) 472-3111 | |
| (785) 472-5639 |
| Full Name | Ecmc Rural Health Clinic Ellsworth |
|---|---|
| Speciality | Family Medicine |
| Location | 1602 N Aylward Ave, Ellsworth, Kansas |
| Authorized Official Name and Position | James Kirkbride (CEO) |
| Authorized Official Contact | 7854723111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecmc Rural Health Clinic Ellsworth 1602 N Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-3111 | Ecmc Rural Health Clinic Ellsworth 1602 N Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-3111 |
| NPI Number | 1972504546 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 5395643357 |
|---|---|
| Medicare Enrollment ID | O20040220000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972504546 | NPI | - | NPPES |
| 30003930830004 | Medicaid | KS | |
| 965 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary |
Ellsworth County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1603 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-4488 Fax: 785-472-4489 | |
Ellsworth Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5731 |