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Organization

MEDICALODGES, INC.

Active
Other names
Community Care Connections Arkansas City
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization

Contact information

Practice address
411 S SUMMIT ST, ARKANSAS CITY, KS 67005-2850
(620) 442-0007
(620) 442-4662
Mailing address
411 S SUMMIT ST, P.O. BOX 736, ARKANSAS CITY, KS 67005-2850
(620) 442-0007
(620) 442-4662

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A-018-008
KS
261QA0600X
Adult Day Care Clinic/Center
A-018-008
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100026530D
KS
Enumeration date
11/08/2006
Last updated
06/23/2008
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