# BOB WILSON MEMORIAL GRANT COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ulysses Family Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497730071
- **Authorized official:** MRS. KARLA ANN NICHOLS (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (620) 356-1261

## Contact information

- **Practice address:** 505 N MAIN ST, ULYSSES, KS 67880-2135
- **Practice address phone:** (620) 356-1261
- **Practice address fax:** (620) 356-3846
- **Mailing address:** 505 N MAIN ST, ULYSSES, KS 67880-2135
- **Mailing address phone:** (620) 356-1261
- **Mailing address fax:** (620) 356-3846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KS | — |
| 261QR1300X | Rural Health Clinic/Center | — | KS | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 03/03/2010