# MEDICALODGES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255417614
- **Authorized official:** CATHY W FISHER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 251-6700

## Contact information

- **Practice address:** 201 W 8TH ST, COFFEYVILLE, KS 67337-5807
- **Practice address phone:** (620) 251-6700
- **Practice address fax:** (620) 251-6427
- **Mailing address:** 201 W 8TH ST, P.O. BOX 509, COFFEYVILLE, KS 67337-5807
- **Mailing address phone:** (620) 251-6700
- **Mailing address fax:** (620) 251-6427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2006
- **Last updated:** 08/22/2020