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Organization

BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL

Active
Other names
Heritage Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR FRABLE (CEO)
(620) 356-6048
Entity
Organization

Contact information

Practice address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-6006
(620) 356-4423
Mailing address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-6006
(620) 356-4423

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HO34001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100099420C
KS
01
652
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/28/2006
Last updated
08/08/2012
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