NPIMap

Organization Active NPI

Commonspirit Kansas, Inc.

Doing business as Bob Wilson Memorial Hospital

  • Critical Access Hospital
  • Ulysses, KS
National Provider Identifier
1235826454
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
COMMONSPIRIT KANSAS, INC.
Doing business as
Bob Wilson Memorial Hospital
Practice address
415 N Main St
Ulysses, KS 67880-2133
Phone
(620) 356-1266
NPI assigned
Apr 18, 2023
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONSPIRIT MOUNTAIN REGIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Tadd M Richert
Title
Region Chief Financial Officer
Phone
(303) 673-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

415 N Main St
Ulysses, KS 67880-2133

Mailing address

PO Box 803929
Kansas City, MO 64180-3929

Other names 1

  • Bob Wilson Memorial Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621002246 KS Part A Provider - Critical Access Hospital 4789595844 Practice locations: Ulysses, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235826454. Details of each certification follow.

Hospital certification: CCN 171388

Legal name
COMMONSPIRIT KANSAS INC
Doing business as
BOB WILSON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 25, 2024
Last certification
Dec 1, 2018
Beds
25
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
415 N Main St
Ulysses, KS 67880-2133
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bob Wilson Memorial HospitalCCN 171388 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Catherine Radiation27 organizations share this tax ID, including this one
Part of
Centura Bradburn Family

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2022 100%
Fred Dierksen Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Non-profit, Chain home office Operational/Managerial Control May 1, 2022
Zeferino J Arroyo Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Darrin Figgins Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
P-Jay Patel Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Mitch Melfi Individual Corporate DirectorBoard Member Jan 1, 2017
Tadd Richert Individual Corporate OfficerTreasurer Apr 1, 2025
Operational/Managerial ControlGroup VP of Finance May 1, 2022
Peter Paul Powers Individual Corporate DirectorEx Officio Advisory Board Member Apr 1, 2025
Janice Thome Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Jason a Justus Individual W-2 Managing EmployeeHospital President Oct 6, 2025
Sheri Shapiro Individual Corporate DirectorBoard Member Apr 1, 2025
Katherine Brooks Individual Corporate OfficerSecretary Apr 1, 2025
Andrew Gaasch Individual Corporate OfficerMountain Region President, CSH Jan 27, 2024
Corporate DirectorBoard Member Apr 1, 2025
Merrill Ray Conant Individual Corporate DirectorAdvisory Board Member Apr 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Affiliated clinicians 59

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1235826454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802133",
            "telephone_number": "620-356-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSPIRIT KANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT MOUNTAIN REGION",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TADD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGION CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "303-673-7864"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bob Wilson Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.