NPIMap

Organization Active NPI

Ellsworth County Medical Center

Doing business as ECMC Rural Health Clinic-Lucas

  • Rural Health Clinic/Center
  • Lucas, KS
National Provider Identifier
1215937289
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ELLSWORTH COUNTY MEDICAL CENTER
Doing business as
ECMC Rural Health Clinic-Lucas
Practice address
216 S Main St
Lucas, KS 67648-9718
Phone
(785) 525-7788
Fax
(785) 525-7786
NPI assigned
Jul 29, 2005
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KS
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

216 S Main St
Lucas, KS 67648-9718

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
30003930830002MedicaidKS
759OtherKSBCBS

Other names 1

  • ECMC Rural Health Clinic-Lucas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000020 KS Part A Provider - Rural Health Clinic 5395643357 Practice locations: Lucas, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215937289. Details of each certification follow.

Rural health clinic certification: CCN 173498

Legal name
ELLSWORTH COUNTY MEDICAL CENTER
Doing business as
ECMC RURAL HEALTH CLINIC - LUCAS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2001
Last certification
Nov 12, 2014
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
216 S Main St
Lucas, KS 67648-9718
Related CCNs
171327

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Ellsworth County Medica4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

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

Ownership & related parties

All disclosed owners & managing parties 5

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 Jun 24, 2021
W-2 Managing EmployeeCeo Jun 24, 2021
Karen Pauley Individual Corporate DirectorTreasurer Jan 1, 2021
Kenneth L Beneda Individual Corporate DirectorChairman Jan 1, 2021

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ecmc- Rural Health Clinic WilsonWilson, KS, CCN 178500 Rural health clinic Operational/Managerial Control (100%) Jul 29, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1215937289",
    "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": "216 S MAIN ST",
            "city": "LUCAS",
            "state": "KS",
            "postal_code": "676489718",
            "telephone_number": "785-525-7788",
            "fax_number": "785-525-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "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": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003930830002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "759",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECMC Rural Health Clinic-Lucas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECMC Rural Health Clinic-Lucas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucas, KS

Sources for this page

Verify at the official NPI Registry.