Bob Wilson Memorial Grant County

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BOB WILSON MEMORIAL GRANT COUNTY

Doing business as

Ulysses Family Physicians

Practice address

505 N Main St
Ulysses, KS 67880-2135

Phone

(620) 356-1261

Fax

(620) 356-3846

NPI assigned

Dec 7, 2005

Last updated

Mar 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karla Ann Nichols

Title

Clinic Administrator

Phone

(620) 356-1261

Specialties & licenses 2

Addresses

Other names 1

• Ulysses Family Physicians Doing business as

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1497730071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802135",
            "telephone_number": "620-356-1261",
            "fax_number": "620-356-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802135",
            "telephone_number": "620-356-1261",
            "fax_number": "620-356-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WILSON MEMORIAL GRANT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "620-356-1261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ulysses Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Beard, PTA
• Stephanie M Bergkamp, TLPC
• Kayleigh Jo Berning, PHARMD
• Bishop Dental, LLC
• Bradyn Matthew Bishop, DDS
• Bob Wilson Memorial Grant County Hospital
• Bob Wilson Memorial Grant County Hospital (Heritage Homecare)
• Bob Wilson Memorial Grant County Hospital
• Bob Wilson Memorial Grant County Hospital
• Jonell Byers, M. D.

• Rural Health Clinic/Center in Ulysses, KS
• Providers in Ulysses, KS by specialty
• Rural Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.