Bob Wilson Memorial Grant County
Organization Active NPI Rural Health Clinic/Center · Ulysses, KS
NPI 1497730071 · NPPES record last updated Mar 3, 2010
Key facts
- NPI
- 1497730071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BOB WILSON MEMORIAL GRANT COUNTY
- Practice address
- 505 N Main St
Ulysses, KS 67880-2135 - Phone
- (620) 356-1261
- Fax
- (620) 356-3846
- NPI assigned
- Dec 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karla Ann Nichols
- Title
- Clinic Administrator
- Phone
- (620) 356-1261
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | KS | ||
| Rural Health Clinic/Center | 261QR1300X | KS | Yes |
Addresses
Primary practice location
505 N Main St
Ulysses, KS 67880-2135
Mailing address
505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100282430A | Medicaid | KS | |
| 110236 | Other | KS | BC/BS |
| 100282430B | Medicaid | KS |
Other names
- Ulysses Family Physicians
Other providers in Ulysses, KS
- Jeff Beard
- Stephanie M Bergkamp
- Kayleigh Jo Berning
- Bishop Dental, LLC
- Bradyn Matthew Bishop
- Bob Wilson Memorial Grant County Hospital
- Bob Wilson Memorial Grant County Hospital
- Bob Wilson Memorial Grant County Hospital
- Bob Wilson Memorial Grant County Hospital
- Jonell Byers
All providers in Ulysses, KS · Rural Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.