| Ellis Family Care Center | |
|
1000 Washington St Ellis KS 67637-1615 | |
| (785) 726-4956 | |
| (785) 726-4479 |
| Full Name | Ellis Family Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Washington St, Ellis, Kansas |
| Authorized Official Name and Position | Christine Adams-cleland (CFO) |
| Authorized Official Contact | 7857432124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Family Care Center 320 N 13th St Wakeeney KS 67672-2002 Ph: (785) 743-2182 | Ellis Family Care Center 1000 Washington St Ellis KS 67637-1615 Ph: (785) 726-4956 |
| NPI Number | 1194830679 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 6103735717 |
|---|---|
| Medicare Enrollment ID | O20060505000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194830679 | NPI | - | NPPES |
| 111217 | Other | KS | BCBS MD |
| 100018310E | Medicaid | KS | |
| 000434 | Other | KS | BCBS RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H-098-001 (Kansas) | Primary |
Ellis Usd 388 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Washington St, Ellis, KS 67637 Phone: 785-726-4281 Fax: 785-726-4677 | |
Ellis Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 Jefferson St, Ellis, KS 67637 Phone: 785-520-5020 Fax: 785-520-5025 |