# MEDICALODGES, INC.

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

## Provider details

- **NPI number:** 1851472922
- **Authorized official:** MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 709-0305

## Contact information

- **Practice address:** 430 BARTLES ROAD, DEWEY, OK 74029-0520
- **Practice address phone:** (918) 534-2848
- **Practice address fax:** (918) 534-2558
- **Mailing address:** 430 BARTLES ROAD, P.O. BOX 520, DEWEY, OK 74029-0520
- **Mailing address phone:** (918) 534-2848
- **Mailing address fax:** (918) 534-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH74047404 | OK | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 11/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100773540A | — | OK |