ELLSWORTH COUNTY MEDICAL CENTER (NPI# 1083614028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083614028 |
| Entity Type | Organization |
| Organization Name | ELLSWORTH COUNTY MEDICAL CENTER |
| Practice Address |
1604 Aylward Ellsworth KS 67439-2541 |
| Mailing Address |
1604 Aylward Po Box 87 Ellsworth KS 67439-2541 |
| Practice Telephone | 7854723111 |
| Practice Fax Number | 7854725760 |
| Mailing Telephone | 7854723111 |
| Mailing Fax Number | 7854725760 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | STEVEN J BERKHOUSE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7854723111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H027001 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRSTGUARD | 633850 | 01 | |
| KS | BCBS | 836 | 01 |
| KS | 100104390A | 05 | |
| BLUE CROSS/BLUE SHIELD | 836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937263 | Ellsworth County Medical Center | Family Medicine | 2509 Avenue E, Wilson, KS 67490 | 2005-07-29 |
| 1689674657 | Ellsworth County Medical Center | Family Medicine | 101 S. Main St., Holyrood, KS 67450-9642 | 2005-07-29 |
| 1457998593 | Ellsworth County Medical Center | Pain Medicine | 1604 Aylward Ave, Ellsworth, KS 67439-2541 | 2019-12-09 |
| 1063479145 | Ellsworth County Medical Center | Medicare Defined Swing Bed Unit | 1604 Aylward, Ellsworth, KS 67439-2541 | 2006-05-01 |
| 1972504546 | Ellsworth County Medical Center | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-08-09 |
| 1215937289 | Ellsworth County Medical Center | Family Medicine | 216 N Main St, Lucas, KS 67648-9124 | 2005-07-29 |
| Street Address |
1604 AYLWARD |
| City | ELLSWORTH |
| State | KS |
| Zip Code | 67439-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063479145 | Ellsworth County Medical Center | Medicare Defined Swing Bed Unit | 1604 Aylward, Ellsworth, KS 67439-2541 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639555634 | Karen Kobs | Pharmacist | 1105 E 15th, Ellsworth, KS 67439 | 2015-08-03 |
| 1629281431 | Cheryl Ann Rathbun | Social Worker | 1295 Hwy 14, Ellsworth, KS 67439 | 2007-05-08 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1568753820 | Katie M Mcwilliams | General Practice | 1602 N Aylward Ave, Ellsworth, KS 67439 | 2011-04-21 |
| 1609918523 | Kyle Gwinner Od LLC | Optometrist | 801 E 3rd St, Ellsworth, KS 67439-0339 | 2007-02-14 |
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1386192227 | Lindsey Warta | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1841436052 | Teasha Lee Choitz | Occupational Therapy Assistant | 1113 State St, Ellsworth, KS 67439-2144 | 2008-12-18 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| Find all providers in zip 67439 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570342 | Lindsborg Community Hospital Association | General Acute Care Hospital | 501 S Santa Fe Ave Ste 220, Salina, KS 67401-4106 | 2018-08-31 |
| 1144770298 | Lindsborg Community Hospital Association | General Acute Care Hospital | 3715 10th St, Great Bend, KS 67530-3542 | 2016-10-12 |
| 1669895314 | Sabetha Community Hospital | General Acute Care Hospital | 603 S 14th Street, Sabetha, KS 66534 | 2014-01-31 |
| 1760767339 | Great Plains of Ottawa Co, Inc. | General Acute Care Hospital | 215 E 8th St, Minneapolis, KS 67467-1902 | 2011-10-14 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1275657983 | Great Plains of Sabetha, Inc. | General Acute Care Hospital | 14th and Oregon, Sabetha, KS 66534-0229 | 2007-03-19 |
| 1194859744 | Osborne County Memorial Hospital | General Acute Care Hospital | 424 W New Hampshire St, Osborne, KS 67473-2314 | 2007-03-15 |
| 1689707275 | Sumner County Hospital District No 1 | General Acute Care Hospital | 601 S Osage St, Caldwell, KS 67022-1654 | 2007-03-13 |
| 1417013103 | Lane County Hospital | General Acute Care Hospital | 235 W Vine Street, Dighton, KS 67839-0969 | 2006-12-28 |
| 1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.