Organization Active NPI

Bob Wilson Memorial Grant County Hospital

  • Rural Acute Care Hospital
  • Ulysses, KS
National Provider Identifier
1265482467
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
HO34001 Issued in KS
Legal business name
BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL
Practice address
415 N Main
Ulysses, KS 67880
Phone
(620) 356-1266
Fax
(620) 356-6014
NPI assigned
May 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Arthur H Frable
Title
Ceo
Phone
(620) 356-6048

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

415 N Main St
#100
Ulysses, KS 67880
Phone (620) 356-6044

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X HO34001 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

415 N Main
Ulysses, KS 67880

Mailing address

415 N Main
Ulysses, KS 67880
Phone (620) 356-1266

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100099420AMedicaidKS
0000000222OtherKSBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2012.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1265482467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "67880",
            "telephone_number": "620-356-1266",
            "fax_number": "620-356-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "67880",
            "telephone_number": "620-356-1266",
            "fax_number": "620-356-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "FRABLE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-356-6048"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KS",
            "license": "HO34001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099420A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000000222",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulysses, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.