Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Kansas City
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
6261 LEAVENWORTH RD, KANSAS CITY, KS 66104-1445
(913) 299-9722
(913) 299-4652
Mailing address
6261 LEAVENWORTH RD, KANSAS CITY, KS 66104-1445
(913) 299-9722
(913) 299-4652
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N105005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108970A
—
KS
Enumeration date
09/25/2006
Last updated
11/01/2011
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