Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Jackson County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (V.P. OF FINANCIAL REPORTING)
(620) 251-6700
Entity
Organization
Contact information
Practice address
1121 W 7TH ST, HOLTON, KS 66436-1123
(785) 364-3164
(785) 364-3778
Mailing address
1121 W 7TH ST, HOLTON, KS 66436-1123
(785) 364-3164
(785) 364-3778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N043001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026530M
—
KS
01
—
N043001
LICENSE NUMBER
KS
Enumeration date
07/10/2006
Last updated
07/30/2009
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