# MEDICALODGES, INC.

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

## Provider details

- **NPI number:** 1700067279
- **Authorized official:** MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 251-6700

## Contact information

- **Practice address:** 1415 MAPLE ST, EUDORA, KS 66025-9419
- **Practice address phone:** (785) 542-2176
- **Practice address fax:** (785) 542-2177
- **Mailing address:** 1415 MAPLE ST, EUDORA, KS 66025-9419
- **Mailing address phone:** (785) 542-2176
- **Mailing address fax:** (785) 542-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N023003 | KS | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 07/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100107330I | — | KS |
| 01 | — | N023003 | ADULT CARE HOME LICENSE | KS |