# GREAT PLAINS OF ELLINWOOD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellinwood Hospital Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225040256
- **Authorized official:** MR. KILE MAGNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (620) 564-2548

## Contact information

- **Practice address:** 300 N PARK AVE, ELLINWOOD, KS 67526-1452
- **Practice address phone:** (620) 564-2548
- **Practice address fax:** (620) 564-2491
- **Mailing address:** 300 N PARK AVE, ELLINWOOD, KS 67526-1452
- **Mailing address phone:** (620) 564-2548
- **Mailing address fax:** (620) 564-2491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | KS | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 07/17/2024