Organization
GREAT PLAINS OF ELLINWOOD INC.
Active
Other names
Ellinwood District Hospital
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
282NC0060X
Critical Access Hospital
Primary
H005001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00203
BLUE CROSS
KS
05
—
100410070A
—
KS
01
—
110746
BCBS MD CLAIMS
KS
Enumeration date
08/16/2006
Last updated
07/17/2024
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