MEDICALODGES, INC. (NPI# 1730260654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730260654 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | GRAN VILLAS EUREKA |
| Practice Address |
1820 E River St Eureka KS 67045-2156 |
| Practice Telephone | 6205837473 |
| Practice Fax Number | 6205837574 |
| Mailing Telephone | 6205837473 |
| Mailing Fax Number | 6205837574 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-23 |
| 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 |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | N037005 | KS | Agencies |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | N037005 | KS | Suppliers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
N037005 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100068170B | 05 | |
| KS | 100026530X | 05 |
| Other Name | Type Code |
|---|---|
| Gran Villas Eureka | 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 |
1820 E RIVER ST |
| City | EUREKA |
| State | KS |
| Zip Code | 67045-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538524178 | Cpf Senior Living - Eureka LLC | Assisted Living Facility | 1820 E River St, Eureka, KS 67045-2156 | 2015-12-28 |
| 1629225107 | Vintage Park At Eureka, LLC | Assisted Living Facility | 1820 E River St, Eureka, KS 67045-2156 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316368194 | Martha Heffron | Behavioral Analyst | 1313 E 50 Road, Eureka, KS 67045 | 2013-12-23 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1972000453 | Christopher Michael Miller | Dentist | 1602 N Elm St, Eureka, KS 67045 | 2018-04-10 |
| 1629044961 | Greenwood County Hospital | Emergency Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2006-02-27 |
| 1861695835 | Greenwood County Hospital | Family Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2007-06-07 |
| 1215045299 | Greenwood County Hospital | Clinic/Center | 100 West 16th St., Eureka, KS 67045-1047 | 2006-08-29 |
| 1275531485 | Greenwood County Hospital | Home Health | 100 W 16th St, Eureka, KS 67045-1064 | 2005-07-12 |
| 1417462151 | Andrea Dawn Wise | Nurse Practitioner | 100 W 16th St, Eureka, KS 67045-1064 | 2017-12-04 |
| 1558728048 | Anesthesia and Pain Management Consultants | Nurse Anesthetist, Certified Registered | 100 W 16th St, Eureka, KS 67045-1064 | 2016-01-28 |
| 1629215736 | Deena K Lighty | Occupational Therapy Assistant | 100 W 16th St, Eureka, KS 67045-1064 | 2009-01-12 |
| Find all providers in zip 67045 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164644746 | Humboldt Senior Resource Center | Clinic/Center | 1910 California St., Eureka, CA 95501 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989432 | Rice County Assisted Living LLC | Clinic/Center | 502 S Miles Ave, Lyons, KS 67554-3008 | 2018-10-24 |
| 1477949196 | Midland Care Connection, Inc. | Clinic/Center | 130 Sw Frazier Ave, Topeka, KS 66606-2812 | 2015-04-09 |
| 1265823116 | Sunflower Adult Day Services, Incorporated | Clinic/Center | 401 W Iron Ave, Salina, KS 67401-2563 | 2015-02-13 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1851728695 | Kc Adult Recreation Center Inc. | Clinic/Center | 1109 N 5th St, Kansas City, KS 66101-2305 | 2013-10-10 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1801173067 | Caring Hearts Adult Day Center,inc. | Clinic/Center | 1234 State Ave, Kansas City, KS 66102-4413 | 2011-11-15 |
| 1033265103 | Douglas County Senior Services, Inc. | Clinic/Center | 745 Vermont St, Lawrence, KS 66044-2371 | 2007-01-25 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
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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.