ECMC- Rural Health Clinic Wilson – Rural Health Clinic/Center, NPI 1215937263

ECMC- Rural Health Clinic Wilson is a healthcare provider. based in Ellsworth, Kansas. specializing in Rural Health Clinic/Center. The organization holds a License No. ========= (KS). The NPI Number for ECMC- Rural Health Clinic Wilson is 1215937263

Main info

Organization
Name
ECMC- Rural Health Clinic Wilson
NPI
1215937263
Phone
(785) 472-3111
Address
1602 AYLWARD AVE
Authorized Official
JAMES KIRKBRIDE CEO
Enumeration Date
29 July 2005
Last Update Date
11 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for ECMC- Rural Health Clinic Wilson

  • 1602, Aylward Avenue, Ellsworth, Ellsworth County, Kansas, 67439, United States

    ELLSWORTH, KS 674392541

    Phone: (785) 472-3111

    Fax: (785) 472-5639

    Type: Mailing

  • 2509, Avenue E, Wilson, Ellsworth County, Kansas, 67490, United States

    WILSON, KS 67490

    Phone: (785) 658-3688

    Fax: (785) 658-3618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (649 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040220000007ORural Health ClinicKS2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67439)

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Reviews

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Frequently asked questions

What federal number belongs to ECMC- Rural Health Clinic Wilson?
The federal identifier for ECMC- Rural Health Clinic Wilson is NPI 1215937263.
Does this profile mean ECMC- Rural Health Clinic Wilson is currently active?
Yes — ECMC- Rural Health Clinic Wilson appears active in the national provider directory.
Does ECMC- Rural Health Clinic Wilson list a primary specialty?
If you are matching referrals, note Rural Health Clinic/Center for ECMC- Rural Health Clinic Wilson. Clinical services aligned with this taxonomy classification.
What location metadata exists for ECMC- Rural Health Clinic Wilson?
The page summarizes Ellsworth, Kansas for ECMC- Rural Health Clinic Wilson; expand the address list for detail.
What if Ellsworth, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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