Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Pittsburg North
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization
Contact information
Practice address
2614 N JOPLIN ST, PITTSBURG, KS 66762-2643
(620) 231-3970
(620) 231-3994
Mailing address
2614 N JOPLIN ST, PITTSBURG, KS 66762-2643
(620) 231-3970
(620) 231-3994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N019002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107920A
—
KS
Enumeration date
10/09/2006
Last updated
06/23/2008
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