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321 West Grant Avenue Ulysses KS 67880-2419 | |
(620) 356-4079 | |
(620) 356-1195 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 321 West Grant Avenue, Ulysses, Kansas |
Authorized Official Name and Position | Julie K Wright (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6202751766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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712 Saint John St Garden City KS 67846-5128 Ph: (620) 275-1766 | 321 West Grant Avenue Ulysses KS 67880-2419 Ph: (620) 356-4079 |
NPI Number | 1164619136 |
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Provider Enumeration Date | 10/03/2007 |
Last Update Date | 01/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164619136 | NPI | - | NPPES |
100314080D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |