NPIMap

Organization Active NPI

Commonspirit Kansas, Inc.

Doing business as Bob Wilson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ulysses, KS
National Provider Identifier
1801331889
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
COMMONSPIRIT KANSAS, INC.
Doing business as
Bob Wilson Memorial Hospital
Bob Wilson Memorial Hospital - Swing Bed Unit
Practice address
415 N Main St
Ulysses, KS 67880-2133
Phone
(620) 356-1266
NPI assigned
Dec 29, 2016
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONSPIRIT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Shawna Roark
Title
Market Cfo
Phone
(620) 282-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

415 N Main St
Ulysses, KS 67880-2133

Mailing address

PO Box 803929
Kansas City, MO 64180-3929
Phone (800) 953-0104

Other identifiers 1

IdentifierTypeStateIssuer
100099420BMedicaidKS

Other names 2

  • Bob Wilson Memorial Hospital Doing business as
  • Bob Wilson Memorial Hospital - Swing Bed Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127001598 KS Part A Provider - Hospital 4789595844 Practice locations: Ulysses, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801331889. Details of each certification follow.

Hospital certification: CCN 17U110

Legal name
COMMONSPIRIT KANSAS INC
Doing business as
BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1968 in KS
Enrollment address
415 N Main St
Ulysses, KS 67880-2133
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
St Catherine Radiation27 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Shawna Rene Roark Individual Corporate OfficerCfo Jul 1, 2022
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Twilla Lee Individual W-2 Managing EmployeeCeo Sep 19, 2022
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Management services company, Non-profit Operational/Managerial Control Jan 1, 2018 100%
Daniel Morissette Individual Corporate DirectorBoard Member Sep 1, 2019
Mitch Melfi Individual Corporate DirectorBoard Member Jan 1, 2017
Tadd Richert Individual Corporate OfficerGroup VP Finance Acute Care Ops Feb 28, 2019
Thomas McGinn Individual Corporate DirectorBoard Member Jul 27, 2022
Andrew Gaasch Individual Corporate OfficerTreasurer Mar 7, 2021
Kristy Dawn Meier Individual W-2 Managing Employee Sep 1, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1801331889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSPIRIT KANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT HEALTH",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "MARKET CFO",
        "authorized_official_telephone_number": "620-282-2004"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099420B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bob Wilson Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bob Wilson Memorial Hospital - Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bob Wilson Memorial Hospital - Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.