| Ellsworth Medical Clinic | |
|
1602 N Aylward Ave Ellsworth KS 67439-2541 | |
| (785) 472-3111 | |
| (785) 472-5731 |
| Full Name | Ellsworth Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1602 N Aylward Ave, Ellsworth, Kansas |
| Authorized Official Name and Position | Ronald Ned Whitmer (OWNER) |
| Authorized Official Contact | 7854723111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Medical Clinic 1602 N Aylward Ave Po Box 103 Ellsworth KS 67439-2541 Ph: (785) 472-3111 | Ellsworth Medical Clinic 1602 N Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-3111 |
| NPI Number | 1609877398 |
|---|---|
| Provider Enumeration Date | 08/03/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609877398 | NPI | - | NPPES |
| 016513 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-18778 (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 | |
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 |