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Organization
BOB WILSON MEMORIAL GRANT COUNTY
Active
Organization
BOB WILSON MEMORIAL GRANT COUNTY
Active
Other names
Ulysses Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA ANN NICHOLS (CLINIC ADMINISTRATOR)
(620) 356-1261
Entity
Organization
Contact information
Practice address
505 N MAIN ST, ULYSSES, KS 67880-2135
(620) 356-1261
(620) 356-3846
Mailing address
505 N MAIN ST, ULYSSES, KS 67880-2135
(620) 356-1261
(620) 356-3846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KS
261QR1300X
Rural Health Clinic/Center
Primary
—
KS
Other
Enumeration date
12/07/2005
Last updated
03/03/2010
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