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Organization

MEDICALODGES, INC.

Active
Other names
Medicalodges Goddard
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
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
(316) 794-3476
Mailing address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
(316) 794-3476

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N087012
KS
261QA0600X
Adult Day Care Clinic/Center
N087012
KS
332B00000X
Durable Medical Equipment & Medical Supplies
N087012
KS
332BC3200X
Customized Equipment (DME)
N087012
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100021620D
KS
Enumeration date
11/02/2006
Last updated
06/23/2008
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