Organization Name: | MEDICALODGES, INC. |
NPI Number: | 1568543346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1607 4th St Wamego |
State: | KS US |
Postal Code: | 665471915 |
Phone Number: | 7854568997 |
Fax Number: | 7854568796 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 08/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | N075006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |