# MEDICALODGES, INC.

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

## Provider details

- **NPI number:** 1346678224
- **Authorized official:** SCOTT L HINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 709-0305

## Contact information

- **Practice address:** 1000 MULBERRY ST, INDEPENDENCE, KS 67301-2026
- **Practice address phone:** (620) 331-8789
- **Practice address fax:** (620) 331-6895
- **Mailing address:** 1000 MULBERRY ST, INDEPENDENCE, KS 67301-2026
- **Mailing address phone:** (620) 331-8789
- **Mailing address fax:** (620) 331-6895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N063017 | KS | Yes |

## Other

- **Enumeration date:** 10/31/2013
- **Last updated:** 10/31/2013