Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Butler
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
(620) 709-0305
Entity
Organization
Contact information
Practice address
103 E NURSERY ST, BUTLER, MO 64730-2331
(660) 679-3179
(660) 679-6524
Mailing address
103 E NURSERY ST, BUTLER, MO 64730-2331
(660) 679-3179
(660) 679-6524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
025264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101450500
—
MO
Enumeration date
10/10/2006
Last updated
11/01/2011
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