Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Eureka
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
1020 N SCHOOL ST, ROUTE 2, BOX 94-C, EUREKA, KS 67045-1106
(620) 583-7418
(620) 583-6621
Mailing address
1020 N SCHOOL ST, ROUTE 2, BOX 94-C, EUREKA, KS 67045-1106
(620) 583-7418
(620) 583-6621
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N037004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109840A
—
KS
Enumeration date
10/10/2006
Last updated
06/23/2008
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