Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Independence
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L HINES (CHIEF FINANCIAL OFFICER)
(620) 709-0305
Entity
Organization
Contact information
Practice address
1000 MULBERRY ST, INDEPENDENCE, KS 67301-2026
(620) 331-8789
(620) 331-6895
Mailing address
1000 MULBERRY ST, INDEPENDENCE, KS 67301-2026
(620) 331-8789
(620) 331-6895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N063017
KS
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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