Organization
MEDICALODGES, INC.
Active
Other names
Community Care Connections Ft. Scott
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
120 E WALL ST, FORT SCOTT, KS 66701-1425
(620) 223-5085
(620) 223-4801
Mailing address
120 E WALL ST, P O BOX 565, FORT SCOTT, KS 66701-1425
(620) 223-5085
(620) 223-4801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026530C
—
KS
Enumeration date
10/13/2006
Last updated
06/23/2008
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