| Grisell Memorial Hospital District 1 | |
| 
					210 S Vermont Ave Ransom KS 67572-9525  | |
| (785) 731-2231 | |
| (785) 731-2895 | 
| Full Name | Grisell Memorial Hospital District 1 | 
|---|---|
| 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 District 1 210 S Vermont Ave Ransom KS 67572-9525 Ph: (785) 731-2231  | Grisell Memorial Hospital District 1 210 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 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 District 1 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  |