Organization
COUNTY OF ELLSWORTH
Active
Other names
Ellsworth County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA G BUEHLER R.N. (ADMINISTRATOR)
(785) 472-4488
Entity
Organization
Contact information
Practice address
1603 N AYLWARD AVE, ELLSWORTH, KS 67439-2541
(785) 472-4488
(785) 472-4489
Mailing address
1603 N AYLWARD AVE, ELLSWORTH, KS 67439-2541
(785) 472-4488
(785) 472-4489
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012758
BLUECROSS BLUESHIELD
KS
05
—
100092210A
—
KS
01
—
600000842
MEDICARE RR PALMETTO
KS
Enumeration date
05/23/2005
Last updated
10/31/2016
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