United Methodist Western Kansas Mexican-American Ministries, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Ulysses, KS

NPI 1609224658 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1609224658
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Practice address
113 S Main St Ste E
Ulysses, KS 67880-2519
Phone
(620) 356-2432
Fax
(620) 356-4050
NPI assigned
Jun 1, 2016
Organization subpart
No

Authorized official

Name
Scott Catchpole
Title
Ceo
Phone
(620) 271-7400

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 7

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

Practitioners 18

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Federally qualified health center certification: CCN 171867

Legal name
UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Doing business as
GENESIS FAMILY HEALTH MEDICAL - ULYSSES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 12, 2016
Last certification
Aug 12, 2016
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Feb 22, 1974 in KS
Enrollment address
113 S Main St
Ste E
Ulysses, KS 67880-2519

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Sonia Hernandez
Individual
Corporate Officer Jan 1, 2017
Hortencia Medina
Individual
Corporate Officer Jul 13, 2020
Irene Velasquez
Individual
Corporate Officer Jan 1, 2018
Linda Scott
Individual
W-2 Managing Employee
Credentialing Manager
Jun 1, 2022
Scott Catchpole
Individual
Corporate Officer
Ceo
Feb 13, 2023
Zachary Anderson
Individual
Corporate Director Sep 1, 2021
Debra Brock
Individual
Corporate Officer Jan 1, 2017
William Bernhardt Purdy
Individual
Corporate Director Dec 2, 2021
Linda Martinez
Individual
Corporate Director Aug 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160812002036 KS Part a Provider - Federally Qualified Health Center (FQHC) 7416866124 Practice locations: Ulysses, KS

National Provider Directory

Tax ID family
United Methodist Minist Inc (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

113 S Main St Ste E
Ulysses, KS 67880-2519

Mailing address

PO Box 766
Garden City, KS 67846-0766
Phone (620) 271-7400

Other names

  • Genesis Family Health Doing business as

Other providers in Ulysses, KS

All providers in Ulysses, KS · Federally Qualified Health Center (FQHC) in Kansas

Sources for this page

Verify at the official NPI Registry.