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General NPI Number Information
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NPI Number | 1083614028
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Entity Type | Organization
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Legal Business Name | ELLSWORTH COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1604 AYLWARD
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City | ELLSWORTH
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State | KS
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Zip | 67439-2541
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Country | US
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Telephone | 785-472-3111
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Fax | 785-472-5760
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Provider Business Mailing Address
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Address Line | 1604 AYLWARD PO BOX 87
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City | ELLSWORTH
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State | KS
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Zip | 67439-2541
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Country | US
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Telephone | 785-472-3111
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Fax | 785-472-5760
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Authorized Official
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Title or Position | CEO
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Name | JAMES KIRKBRIDE
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Credential |
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Telephone | 785-472-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H027001
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License Number State | KS
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