# MEDICALODGES, INC.

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

## Provider details

- **NPI number:** 1558461822
- **Authorized official:** MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 709-0305

## Contact information

- **Practice address:** 6261 LEAVENWORTH RD, KANSAS CITY, KS 66104-1445
- **Practice address phone:** (913) 299-9722
- **Practice address fax:** (913) 299-4652
- **Mailing address:** 6261 LEAVENWORTH RD, KANSAS CITY, KS 66104-1445
- **Mailing address phone:** (913) 299-9722
- **Mailing address fax:** (913) 299-4652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N105005 | KS | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 11/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108970A | — | KS |