Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Douglass
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (V.P. OF FINANCIAL REPORTING)
(620) 251-6700
Entity
Organization
Contact information
Practice address
619 S US HIGHWAY 77, DOUGLASS, KS 67039-8321
(316) 747-2157
(316) 747-2084
Mailing address
619 S US HIGHWAY 77, DOUGLASS, KS 67039-8321
(316) 747-2157
(316) 747-2084
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N008001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111480A
—
KS
Enumeration date
10/17/2006
Last updated
07/30/2009
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