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505 N Main St Ulysses KS 67880-2135 | |
(620) 356-1261 | |
(620) 356-3846 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 505 N Main St, Ulysses, Kansas |
Authorized Official Name and Position | Karla Ann Nichols (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6203561261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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505 N Main St Ulysses KS 67880-2135 Ph: (620) 356-1261 | 505 N Main St Ulysses KS 67880-2135 Ph: (620) 356-1261 |
NPI Number | 1497730071 |
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Provider Enumeration Date | 12/07/2005 |
Last Update Date | 03/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497730071 | NPI | - | NPPES |
100282430A | Medicaid | KS | |
110236 | Other | KS | BC/BS |
100282430B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Kansas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |
Family Practice Associates Of Ulysses Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Kansas Ave, Ulysses, KS 67880 Phone: 620-356-5870 Fax: 620-356-5867 | |