Organization
GREAT PLAINS OF ELLINWOOD INC.
Active
Other names
Ellinwood Hospital Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KILE MAGNER (CHIEF EXECUTIVE OFFICER)
(620) 564-2548
Entity
Organization
Contact information
Practice address
300 N PARK AVE, ELLINWOOD, KS 67526-1452
(620) 564-2548
(620) 564-2491
Mailing address
300 N PARK AVE, ELLINWOOD, KS 67526-1452
(620) 564-2548
(620) 564-2491
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000964
BCBS 2NDRY FOR RHC
KS
05
—
1000410070B
—
KS
01
—
110746
BLUE CROSS
KS
01
—
173402
MEDICARE PTAN
KS
Enumeration date
08/11/2006
Last updated
07/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us