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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
1251E00000XHome Health AgencyN007006KS
2332BC3200XCustomized Equipment (DME)N007006KS
3261QA0600XAdult Day Care Clinic/CenterN007006KS

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 : 1962583765
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICALODGES, INC.
Provider Business Mailing Address
First Line : 400 KANSAS AVE
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-1954
Country : US
Telephone Number : 785-742-4566
Fax Number : 785-742-4573
Provider Business Practice Location Address
First Line : 400 KANSAS AVE
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-1954
Country : US
Telephone Number : 785-742-4566
Fax Number : 785-742-4573
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. CATHY W FISHER
Credential :
Telephone Number : 620-251-6700
Provider Enumeration Date : 10/18/2006
Last Update Date : 06/23/2008

Similar Medicare Providers

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Practice Location Address:
400 KANSAS AVE
HIAWATHA, KS
66434-1954
Practice Phone: 785-742-4566
Practice Fax: 785-742-4573
1356706998 — CPF SENIOR LIVING - HIAWATHA LLC
Practice Location Address:
400 KANSAS AVE
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Practice Fax:
1871469510 — HOMESTEAD OF HIAWATHA OPERATIONS LLC
Practice Location Address:
400 KANSAS AVE
HIAWATHA, KS
66434-1954
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Practice Fax:
1578566105 — KIMBERLY NOLTE RPH
Practice Location Address:
1550 200TH ST
HIAWATHA, KS
66434-8583
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Practice Fax:
1629071246 — KOECHNER PHARMACIES LLC
Practice Location Address:
101 S 6TH ST
HIAWATHA, KS
66434-2306
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Practice Fax: 785-742-4551
1225031560 — DR. ERIC C. MCPEAK O.D.
Practice Location Address:
706 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-3021
Practice Fax: 785-742-3061

Directions to “MEDICALODGES, INC. ” Practice Location

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