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CAH171327-00 ELLSWORTH COUNTY MEDICAL CENTER (Active)
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Main Details
Name
ELLSWORTH COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171327-00
Medicare Provider Number
171327
Additional Details
Current Program Status
Active
Registration Date
8/5/2010
Participating Start Date
8/6/2010
Participating Approval Date
8/5/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ellsworth County Medical Center
Jim Kirkbride, Chief Executive Officer
(785) 810-1102
Primary Contact
Ellsworth County Medical Center
Brandy Thornton, Senior Accountant
(785) 472-3111 Ext: 1406
Addresses
Street Address
1604 AYLWARD AVE.
ELLSWORTH, KS 67439
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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