CCN: 170110 NPI: 1811432594 Organization

BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL

415 N MAIN ST
ULYSSES, KS 678802133

Contact Information

Phone 6203561266
Enumeration Date 2017-01-04
Last Updated 2025-08-04

Taxonomies

Code: 282NR1301X (Primary) License State: KS License: HO34001

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.774

hhrAdjustment 0.9988

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.774

hhrAdjustment 0.9996

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.71

hhrAdjustment 0.9996

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.71

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.71

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.592

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.605

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.605

hhrAdjustment 0.9974

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.801

hhrAdjustment 0.9974

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.801

hhrAdjustment 0.9951

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.655

hhrAdjustment 0.9951

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.655

hhrAdjustment 0.997

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.655

uncompensatedCareAmount 1601.89

hhrAdjustment 0.997

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.933

uncompensatedCareAmount 1601.89

hhrAdjustment 0.997

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.933

uncompensatedCareAmount 1366.75

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.933

uncompensatedCareAmount 1366.75

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 0.933

uncompensatedCareAmount 1366.75

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 1.123

uncompensatedCareAmount 1366.75

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 1.123

uncompensatedCareAmount 902.83

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 17

providerType 16

caseMixIndex 0.8838

operatingCostToChargeRatio 1.048

uncompensatedCareAmount 902.83

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.321

specialPaymentIndicator Y

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.321

specialPaymentIndicator Y

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.34

deviceCostToChargeRatio 4.059

specialPaymentIndicator Y

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.34

deviceCostToChargeRatio 4.059

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.417

deviceCostToChargeRatio 1.66

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.417

deviceCostToChargeRatio 1.66

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.391

deviceCostToChargeRatio 1.901

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.476

deviceCostToChargeRatio 3.033

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.476

deviceCostToChargeRatio 3.033

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.277

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.277

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.494

deviceCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.494

deviceCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.494

deviceCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

cbsaActualGeographicLocation 17

providerType 16

operatingCostToChargeRatio 0.656

deviceCostToChargeRatio 0.414

specialPaymentIndicator

costOfLivingAdjustment 0.73

carrierCode 05202

localityCode 00

BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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