Organization
ELLSWORTH COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KIRKBRIDE (CEO)
(785) 472-3111
Entity
Organization
Contact information
Practice address
1604 AYLWARD, ELLSWORTH, KS 67439-2541
(785) 472-3111
(785) 472-5760
Mailing address
1604 AYLWARD, PO BOX 87, ELLSWORTH, KS 67439-2541
(785) 472-3111
(785) 472-5760
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
H027001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003930830005
—
KS
01
—
633850
FIRSTGUARD
—
01
—
836
BCBS
KS
01
—
836
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/29/2005
Last updated
08/11/2025
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