Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Kinsley
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
620 WINCHESTER AVE, KINSLEY, KS 67547-2348
(620) 659-2156
(620) 659-2043
Mailing address
620 WINCHESTER AVE, KINSLEY, KS 67547-2348
(620) 659-2156
(620) 659-2043
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N024001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109620A
—
KS
Enumeration date
10/10/2006
Last updated
11/01/2011
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