ELLSWORTH COUNTY HEALTH DEPARTMENT
NPI 1558364752
Clinic/Center - Public Health, State or Local in Ellsworth, KS

Active since May 23, 2005CLIA 17D0665679 · Waiver
1603 N AYLWARD AVE, ELLSWORTH, KS 67439(785) 472-4488(785) 472-4489 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellsworth County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLSWORTH COUNTY HEALTH DEPARTMENT (NPI 1558364752) is a healthcare organization registered as a public health, state or local in Ellsworth, Kansas and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brenda G Buehler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558364752
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCOUNTY OF ELLSWORTH
Location Address1603 N AYLWARD AVEEllsworth, KS 67439-2541
Mailing Address1603 N Aylward AveEllsworth, KS 67439-2541 · (785) 472-4488 · Fax (785) 472-4489
Fax(785) 472-4489
Organization SubpartNo
Authorized OfficialBrenda G BuehlerAdministrator · (785) 472-4488
Enumeration DateMay 23, 2005
Last NPPES UpdateOctober 31, 2016
NPI 1558364752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
1603 N AYLWARD AVE, Ellsworth, KS 67439

Other Names 1

Doing Business AsEllsworth County Health Department

Other Identifiers 4

Medicare PIN420026KS
Other600000842KS · Medicare Rr Palmetto
Other012758KS · Bluecross Blueshield
Medicaid100092210AKS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0665679

Ellsworth County Health Department · Ellsworth, KS
Active · expires Aug 31, 2026
CLIA Number17D0665679
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKerianne Ehrlich
Laboratory Phone(785) 472-4488
Laboratory LocationEllsworth County Health Department1603 Aylward Avenue, Ellsworth, KS 67439
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
366 services365 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
340 services340 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
31 services31 patients
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686
The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
23 services23 patients
Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use 90671
The Pneumococcal Conjugate Vaccine, 15-valent (PCV15), is given through a muscle injection. It helps protect against 15 types of bacteria that can cause serious illnesses like pneumonia and meningitis. It's important for overall health and prevention.
19 services19 patients
Pneumococcal vaccine, 23-valent 90732
The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.
12 services12 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558364752, enumerated as an "organization" on May 23, 2005.

The provider is located at 1603 N AYLWARD AVE ELLSWORTH, KS 67439 and the phone number is (785) 472-4488.

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.