| Grisell Memorial Hospital Clinic | |
|
210 S Vermont Ave Ransom KS 67572-9525 | |
| (785) 731-2231 | |
| (785) 731-2895 |
| Full Name | Grisell Memorial Hospital Clinic |
|---|---|
| Speciality | General Practice |
| Location | 210 S Vermont Ave, Ransom, Kansas |
| Authorized Official Name and Position | Rayna Bittel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7857312231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grisell Memorial Hospital Clinic 210 S Vermont Ave Ransom KS 67572-9525 Ph: (785) 731-2231 | Grisell Memorial Hospital Clinic 210 S Vermont Ave Ransom KS 67572-9525 Ph: (785) 731-2231 |
| NPI Number | 1588601587 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/27/2023 |
| Medicare PECOS PAC ID | 3577474824 |
|---|---|
| Medicare Enrollment ID | O20050228000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588601587 | NPI | - | NPPES |
| 016794 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | H068002 (Kansas) | Primary |
| Provider Name | Lindsey Gleed Broin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992212294 PECOS PAC ID: 4385903509 Enrollment ID: I20180116002615 |
| Provider Name | Tyson B Wisinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437537438 PECOS PAC ID: 7810200920 Enrollment ID: I20180926003758 |
| Provider Name | Cooper L Nickel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396279378 PECOS PAC ID: 7810265444 Enrollment ID: I20190125000445 |
| Provider Name | Erika M Warbinton |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1588070973 PECOS PAC ID: 5698187144 Enrollment ID: I20201208000420 |
| Provider Name | Brooke Rachelle Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326586637 PECOS PAC ID: 3577910264 Enrollment ID: I20231117001741 |
Grisell Memorial Hosptial Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Vermont Ave, Ransom, KS 67572 Phone: 785-731-2295 | |
Grisell Memorial Hospital Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Vermont Ave, Ransom, KS 67572 Phone: 785-731-2295 | |
Unified School District 106 Western Plains Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Ogden St, Ransom, KS 67572 Phone: 785-731-2434 Fax: 785-731-2624 |