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Organization
MEDICALODGES, INC.
Active
Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Goddard
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization
Contact information
Practice address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
(316) 794-3476
Mailing address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
(316) 794-3476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107980A
—
KS
Enumeration date
10/10/2006
Last updated
10/21/2008
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