NPIMap

Organization Active NPI

Bob Wilson Memorial Grant County Hospital

  • Rural Acute Care Hospital
  • Ulysses, KS
National Provider Identifier
1487921201
Registry record updated Nov 22, 2011
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 St
Ulysses, KS 67880-2133
Phone
(620) 356-1266
Fax
(620) 356-6014
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Arthur Frable
Title
Ceo
Phone
(620) 356-1266

Specialties & licenses 1

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

Addresses

Primary practice location

415 N Main St
Ulysses, KS 67880-2133

Mailing address

415 N Main St
Ulysses, KS 67880-2133

Other identifiers 1

IdentifierTypeStateIssuer
100099420BMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1487921201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802133"
        },
        {
            "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",
            "fax_number": "620-356-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "FRABLE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-356-1266"
    },
    "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": "100099420B",
            "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 Nov 22, 2011; 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.