Ellsworth County Health Department | |
1603 N Aylward Ave Ellsworth KS 67439-2541 | |
(785) 472-4488 | |
(785) 472-4489 |
Full Name | Ellsworth County Health Department |
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Speciality | Clinic/Center |
Location | 1603 N Aylward Ave, Ellsworth, Kansas |
Authorized Official Name and Position | Brenda G Buehler (ADMINISTRATOR) |
Authorized Official Contact | 7854724488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ellsworth County Health Department 1603 N Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-4488 | Ellsworth County Health Department 1603 N Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-4488 |
NPI Number | 1558364752 |
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Provider Enumeration Date | 05/23/2005 |
Last Update Date | 10/31/2016 |
Medicare PECOS PAC ID | 8820263767 |
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Medicare Enrollment ID | O20120227000787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558364752 | NPI | - | NPPES |
100092210A | Medicaid | KS | |
012758 | Other | KS | BLUECROSS BLUESHIELD |
600000842 | Other | KS | MEDICARE RR PALMETTO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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 | |
Ecmc Rural Health Clinic Ellsworth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1602 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5639 |