| Organization Name: | ELLSWORTH COUNTY MEDICAL CENTER |
| NPI Number: | 1083614028 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER A MASSE (CEO) |
| Mailing Address: | 1604 N Aylward Ave Ellsworth |
| State: | KS US |
| Postal Code: | 674392541 |
| Phone Number: | 7854725028 |
| Fax Number: | 7854725760 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 01/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H027001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |