Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Wichita
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (V.P. OF FINANCIAL REPORTING)
(620) 251-6700
Entity
Organization
Contact information
Practice address
2280 S MINNEAPOLIS AVE, WICHITA, KS 67211-5318
(316) 265-5693
(316) 265-3700
Mailing address
2280 S MINNEAPOLIS AVE, WICHITA, KS 67211-5318
(316) 265-5693
(316) 265-3700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087021
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107330A
—
KS
Enumeration date
10/09/2006
Last updated
07/30/2009
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