County of Ellsworth

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF ELLSWORTH

Doing business as

Ellsworth County Health Department

Practice address

1603 N Aylward Ave
Ellsworth, KS 67439-2541

Phone

(785) 472-4488

Fax

(785) 472-4489

NPI assigned

May 23, 2005

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda G Buehler, R.N.

Title

Administrator

Phone

(785) 472-4488

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ellsworth County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Ellsworth

  • Paramedic
  • Ellsworth, KS
  • NPI 1407899685

  8820263767

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Ellsworth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Ellsworth

  • Paramedic
  • Ellsworth, KS
  • NPI 1407899685
  NPD tax ID

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1558364752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-4488",
            "fax_number": "785-472-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-4488",
            "fax_number": "785-472-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ELLSWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-472-4488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092210A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "012758",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "600000842",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellsworth County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• County of Ellsworth
• Mychel Toni Dolezal, R.D.H.
• Ellsworth County Medical Center
• Ellsworth County Medical Center
• Ellsworth County Medical Center
• Ellsworth County Medical Center (ECMC Rural Health Clinic Ellsworth)

• State or Local Public Health Clinic/Center in Ellsworth, KS
• Providers in Ellsworth, KS by specialty
• State or Local Public Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.