ELLSWORTH COUNTY MEDICAL CENTER (NPI# 1215937263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215937263 |
| Entity Type | Organization |
| Organization Name | ELLSWORTH COUNTY MEDICAL CENTER |
| Other Organization Name | ECMC- RURAL HEALTH CLINIC WILSON |
| Practice Address |
2509 Avenue E Wilson KS 67490 |
| Mailing Address |
1602 Aylward Ave Ellsworth KS 67439-2541 |
| Practice Telephone | 7856583688 |
| Practice Fax Number | 7856583618 |
| Mailing Telephone | 7854723111 |
| Mailing Fax Number | 7854725639 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | STEVEN J BERKHOUSE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7854723111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 1387 | 01 |
| KS | 100104390F | 05 |
| Other Name | Type Code |
|---|---|
| ECMC - Rural Health Clinic - Wilson | Doing Business As Name - Organization |
| ECMC- Rural Health Clinic Wilson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614028 | Ellsworth County Medical Center | General Acute Care Hospital | 1604 Aylward, Ellsworth, KS 67439-2541 | 2005-07-29 |
| 1689674657 | Ellsworth County Medical Center | Family Medicine | 101 S. Main St., Holyrood, KS 67450-9642 | 2005-07-29 |
| 1457998593 | Ellsworth County Medical Center | Pain Medicine | 1604 Aylward Ave, Ellsworth, KS 67439-2541 | 2019-12-09 |
| 1063479145 | Ellsworth County Medical Center | Medicare Defined Swing Bed Unit | 1604 Aylward, Ellsworth, KS 67439-2541 | 2006-05-01 |
| 1972504546 | Ellsworth County Medical Center | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-08-09 |
| 1215937289 | Ellsworth County Medical Center | Family Medicine | 216 N Main St, Lucas, KS 67648-9124 | 2005-07-29 |
| Street Address |
2509 AVENUE E |
| City | WILSON |
| State | KS |
| Zip Code | 67490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426368 | Janet Warkentine | Registered Nurse | 811 29th Street, Wilson, KS 67490 | 2020-01-13 |
| 1982750717 | Longfellow Corners Assisted Living Center | Assisted Living Facility | 420 24th Street, Wilson, KS 67490-0551 | 2007-01-26 |
| 1235139205 | Ecmc Rural Health Clinic Wmc | Family Medicine | 409 27th St, Wilson, KS 67490-4016 | 2005-07-29 |
| 1295849511 | Belinda Renae Kasper | Dietitian, Registered | 136 8th Rd, Wilson, KS 67490-8717 | 2006-08-17 |
| 1508817792 | Ggnsc Wilson LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2006-05-13 |
| 1518516517 | Wilson Operator, LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2019-09-11 |
| 1740725159 | Catherine Hunt | Occupational Therapist | 611 31st St, Wilson, KS 67490-8740 | 2016-12-21 |
| 1306393186 | Wilson Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2016-09-08 |
| 1558626465 | Crystal Ponds | Occupational Therapist | 611 31st St, Wilson, KS 67490-8740 | 2012-07-06 |
| 1073755690 | Jana L Nyland | Speech-Language Pathologist | 611 31st St, Wilson, KS 67490-8740 | 2009-03-27 |
| Find all providers in zip 67490 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972134765 | Halo Health, PC | Family Medicine | 3406 Belle Meade Dr Nw, Wilson, NC 27896-8676 | 2020-01-30 |
| 1235693953 | Healthfirst Primary Care PC | Family Medicine | 3011b Raleigh Road Pkwy W, Wilson, NC 27896-8213 | 2019-01-27 |
| 1710331087 | Freedom Family Medicine, P.a. | Family Medicine | 2519f Airport Blvd Nw Unit F, Wilson, NC 27896-9673 | 2016-04-22 |
| 1124274873 | Mdfamily Medical Group, Pa | Family Medicine | 2801 Fieldstream Dr N, Wilson, NC 27896-6927 | 2008-08-13 |
| 1356408207 | James Gregg Sigmon | Family Medicine | 4008 Nc Hwy. 42 W, Wilson, NC 27893-7774 | 2007-01-02 |
| 1184797235 | Wilson Family Practice Ctr | Family Medicine | 4008 Nc Hwy. 42 W., Wilson, NC 27893-7774 | 2006-11-16 |
| 1770681140 | Abrahan Chaparro | Family Medicine | 303 Green E St, Wilson, NC 27893-4105 | 2006-09-20 |
| 1710081161 | Wallace R Nelms Jr. | Family Medicine | 2546 Ward Boulevard, Wilson, NC 27893 | 2006-09-07 |
| 1316956345 | Jodi L Greenfield | Family Medicine | N15019, Wilson, MI 49896 | 2006-08-07 |
| 1033126909 | Robert Day Richards | Family Medicine | 4761 Ward Boulevard, Wilson, NC 27893 | 2006-08-02 |
| Find all providers in WILSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.