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Organization
MEDICALODGES, INC.
Active
Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Pittsburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
(620) 709-0305
Entity
Organization
Contact information
Practice address
2520 S ROUSE ST, PITTSBURG, KS 66762-6605
(620) 231-0300
(620) 231-1818
Mailing address
2520 S ROUSE ST, PITTSBURG, KS 66762-6605
(620) 231-0300
(620) 231-1818
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N019004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107380A
—
KS
Enumeration date
10/10/2006
Last updated
10/31/2011
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