Organization
GREAT PLAINS OF ELLINWOOD, INC.
Active
Organization
GREAT PLAINS OF ELLINWOOD, INC.
Active
Parent organization
GREAT PLAINS OF ELLINWOOD INC.
Other names
Ellinwood District Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT PLAINS OF ELLINWOOD INC.
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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H005001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001598
BCBS
KS
Enumeration date
10/04/2006
Last updated
07/17/2024
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