NPIMap

Organization Active NPI

Ellsworth County Medical Center

  • Rural Health Clinic/Center
  • Wilson, KS
National Provider Identifier
1215937263
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ELLSWORTH COUNTY MEDICAL CENTER
Practice address
2509 Avenue E
Wilson, KS 67490
Phone
(785) 658-3688
Fax
(785) 658-3618
NPI assigned
Jul 29, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
James Kirkbride
Title
Ceo
Phone
(785) 472-3111

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Rural health clinic certification: CCN 178500

Medicare enrollment files
Legal name
ELLSWORTH COUNTY MEDICAL CENTER
Doing business as
ECMC- RURAL HEALTH CLINIC WILSON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2001
Last certification
Jul 23, 2025
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
2509 Avenue E
Wilson, KS 67490-4053
Related CCNs
171327

All disclosed owners & managing parties 6

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Clint Rogers Individual Corporate DirectorVice Chair Jan 1, 2021
Brandy Thornton Individual Corporate DirectorCfo Mar 19, 2024
W-2 Managing EmployeeCfo Mar 19, 2024
James Kirkbride Individual Corporate DirectorCeo Jan 1, 2019
W-2 Managing EmployeeCeo Jan 1, 2019
Ellsworth County Medical Center Organization, Ellsworth, KS Non-profit Operational/Managerial Control Jul 29, 2005 100%
Karen Pauley Individual Corporate DirectorTreasurer Jan 1, 2021
Kenneth L Beneda Individual Corporate DirectorChairman Jan 1, 2021

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040220000007 KS Part a Provider - Rural Health Clinic 5395643357 Practice locations: Wilson, KS

National Provider Directory

National Provider Directory
Tax ID family
Ellsworth County Medica (4 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KS
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

2509 Avenue E
Wilson, KS 67490

Mailing address

1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-3111

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1387OtherKSBCBS
30003930830001MedicaidKS

Other names 1

NPPES NPI Registry
  • ECMC- Rural Health Clinic Wilson Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2025.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1215937263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 AVENUE E",
            "city": "WILSON",
            "state": "KS",
            "postal_code": "67490",
            "telephone_number": "785-658-3688",
            "fax_number": "785-658-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "KIRKBRIDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-472-3111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1387",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003930830001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECMC- Rural Health Clinic Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, KS

Sources for this page

Verify at the official NPI Registry.