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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, CLAY CENTER, KS 67432-1528
(785) 632-5696
(785) 632-2855

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N104004
KS
261QA0600X
Adult Day Care Clinic/Center
N104004
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100026530E
KS
Enumeration date
11/02/2006
Last updated
06/23/2008
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