| Ellsworth County Medical Center | |
|
1604 Aylward Ellsworth KS 67439-2541 | |
| (785) 472-3111 | |
| (785) 472-5760 |
| Full Name | Ellsworth County Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1604 Aylward, 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 |
|---|---|
| Ellsworth County Medical Center 1604 Aylward Po Box 87 Ellsworth KS 67439-2541 Ph: (785) 472-3111 | Ellsworth County Medical Center 1604 Aylward Ellsworth KS 67439-2541 Ph: (785) 472-3111 |
| NPI Number | 1083614028 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 08/11/2025 |
| Medicare PECOS PAC ID | 5395643357 |
|---|---|
| Medicare Enrollment ID | O20070227000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083614028 | NPI | - | NPPES |
| 836 | Other | KS | BCBS |
| 836 | Other | BLUE CROSS/BLUE SHIELD | |
| 30003930830005 | Medicaid | KS | |
| 633850 | Other | FIRSTGUARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | H027001 (Kansas) | Primary |
| Provider Name | Ediomi Edet Enebong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356996326 PECOS PAC ID: 5496086001 Enrollment ID: I20230516001126 |
Ellsworth County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 Aylward, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5760 | |
County Of Ellsworth 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 | |
Ellsworth County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1602 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5639 |