Organization
MEDICALODGES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization
Contact information
Practice address
201 W 8TH ST, COFFEYVILLE, KS 67337-5807
(620) 251-6700
(620) 251-6427
Mailing address
201 W 8TH ST, P.O. BOX 509, COFFEYVILLE, KS 67337-5807
(620) 251-6700
(620) 251-6427
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/28/2006
Last updated
08/22/2020
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