MEDICALODGES, INC. (NPI# 1386732998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386732998 |
Entity Type | Organization |
Organization Name | MEDICALODGES, INC. |
Other Organization Name | MEDICALODGES GODDARD |
Practice Address |
501 Easy St Goddard KS 67052-9211 |
Practice Telephone | 3167948635 |
Practice Fax Number | 3167943476 |
Mailing Telephone | 3167948635 |
Mailing Fax Number | 3167943476 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2008-10-21 |
Authorized Official Name | MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6202516700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | N087012 | KS | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100107980A | 05 |
Other Name | Type Code |
---|---|
Medicalodges Goddard | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
1437410651 | Medicalodges, Inc. | Assisted Living Facility | 1004 E Centennial Dr, Pittsburg, KS 66762-6565 | 2012-06-05 |
1316017544 | Medicalodges, Inc. | Home Health | 420 W Lyon Dr, Neosho, MO 64850-9194 | 2006-11-08 |
1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
1336228394 | Medicalodges, Inc. | Home Health | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2006-11-02 |
1255417614 | Medicalodges, Inc. | Skilled Nursing Facility | 201 W 8th St, Coffeyville, KS 67337-5807 | 2006-10-28 |
1083799613 | Medicalodges, Inc. | Case Management | 821 W 3rd St, Valley Center, KS 67147-2417 | 2006-10-25 |
1437233855 | Medicalodges, Inc. | Skilled Nursing Facility | 2 E Ash St, Herington, KS 67449-1662 | 2006-10-24 |
1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 2006-10-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEDICALODGES, INC. | 201 W 8th St, Coffeyville, KS 67337-5807 |
Oklahoma Business Registrations | MEDICALODGES, INC. | P O Box 509, Coffeyville, KS 67337 |
Street Address |
501 EASY ST |
City | GODDARD |
State | KS |
Zip Code | 67052-9211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952337370 | Thomas L Rochat | Psychologist | 501 Easy St, Goddard, KS 67052-9211 | 2006-06-25 |
1386063410 | Tim Mathias | Physical Therapy Assistant | 501 Easy St, Goddard, KS 67052-9211 | 2014-04-16 |
1548405830 | Michael Schmidt | Physical Therapy Assistant | 501 Easy St, Goddard, KS 67052-9211 | 2008-12-16 |
1871796656 | Danette Friedel | Physical Therapy Assistant | 501 Easy St, Goddard, KS 67052-9211 | 2007-06-07 |
1508068404 | Lori Parker | Physical Therapy Assistant | 501 Easy St, Goddard, KS 67052-9211 | 2007-06-03 |
1851479216 | Medicalodges, Inc. | Clinic/Center | 501 Easy St, Goddard, KS 67052-9211 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699232009 | Kimberly Dawn Presley | Counselor | 2517 E Casey Dr, Goddard, KS 67052 | 2019-02-22 |
1689103962 | Kimberley E Rowan | Social Worker | 125 Brazos, Goddard, KS 67052 | 2017-06-08 |
1649676800 | Kori Michelle Turney | Occupational Therapist | 1055 N. 199th St W, Goddard, KS 67052 | 2014-11-14 |
1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
1518092022 | Jamie J. Arnold | Chiropractor | 228 N. Main St, Goddard, KS 67052 | 2007-02-23 |
1871690073 | Michael D Gordon Dd Pa | Optometrist | 701 N Goddard Road, Goddard, KS 67052 | 2006-09-20 |
1023079852 | Carolina M Soria | Family Medicine | 216 N Main, Goddard, KS 67052 | 2006-03-31 |
1841316619 | Preferred Medical Associates | Nurse Practitioner | 216 N Main, Goddard, KS 67052 | 2007-03-22 |
1215045463 | Stephen Joseph Arnold | Dentist | 204 N Main, Goddard, KS 67052 | 2006-08-28 |
1720124647 | Sedgwick County Area Ed Serv 618 | Local Education Agency (LEA) | 620 Industrial Rd, Goddard, KS 67052-7009 | 2007-01-29 |
Find all providers in zip 67052 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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1144842287 | Logan County Senior Living Inc | Skilled Nursing Facility | 615 Price Ave, Oakley, KS 67748-2048 | 2020-05-12 |
1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
1235604752 | Nortonville Healthcare LLC | Skilled Nursing Facility | 412 Walnut St, Nortonville, KS 66060 | 2018-10-11 |
1700383759 | Ranch House Nursing Facility Operations LLC | Skilled Nursing Facility | 2900 N Campus Dr, Garden City, KS 67846-3997 | 2018-04-06 |
1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
1407355720 | Kingston Trilogy Holdings LLC | Skilled Nursing Facility | 1822 N Brunswick St, Wichita, KS 67212-1588 | 2018-02-02 |
1588162382 | Sunporch of Smith Center Inc | Skilled Nursing Facility | 920 E Kansas Ave, Smith Center, KS 66967 | 2018-01-26 |
1881104230 | Mount St Mary Inc | Skilled Nursing Facility | 3700 E Lincoln St, Wichita, KS 67218-2008 | 2017-10-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.