# MEDICALODGES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicalodges Eureka
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316035074
- **Authorized official:** MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 251-6700

## Contact information

- **Practice address:** 1020 N SCHOOL ST, ROUTE 2, BOX 94-C, EUREKA, KS 67045-1106
- **Practice address phone:** (620) 583-7418
- **Practice address fax:** (620) 583-6621
- **Mailing address:** 1020 N SCHOOL ST, ROUTE 2, BOX 94-C, EUREKA, KS 67045-1106
- **Mailing address phone:** (620) 583-7418
- **Mailing address fax:** (620) 583-6621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N037004 | KS | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100109840A | — | KS |