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NPI Code Detail

MEDICARE: MEDICALODGES, INC.

MEDICARE: MEDICALODGES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityN018004KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871681585
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICALODGES, INC.
Provider Business Mailing Address
First Line : PO BOX 19
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-0019
Country : US
Telephone Number : 620-442-1120
Fax Number : 620-442-1055
Provider Business Practice Location Address
First Line : 2575 GREENWAY RD
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-3890
Country : US
Telephone Number : 620-442-1120
Fax Number : 620-442-1055
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. CATHY W FISHER
Credential :
Telephone Number : 620-251-6700
Provider Enumeration Date : 10/10/2006
Last Update Date : 06/23/2008

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Directions to “MEDICALODGES, INC. ” Practice Location

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