Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Clay Center
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
715 LIBERTY ST, CLAY CENTER, KS 67432-1528
(785) 632-5696
(785) 632-2855
Mailing address
715 LIBERTY ST, P O BOX 517, CLAY CENTER, KS 67432-1528
(785) 632-5696
(785) 632-2855
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N104004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107890A
—
KS
Enumeration date
10/10/2006
Last updated
02/01/2010
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