Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Atchison
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
1637 RILEY ST, ATCHISON, KS 66002-1514
(913) 367-6066
(913) 367-4327
Mailing address
1637 RILEY ST, ATCHISON, KS 66002-1514
(913) 367-6066
(913) 367-4327
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N003002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107560A
—
KS
Enumeration date
10/10/2006
Last updated
10/31/2011
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