MEDICALODGES. INC. (NPI# 1740361534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740361534 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES. INC. |
| Other Organization Name | GRAN VILLAS HOLTON |
| Practice Address |
410 Juniper Dr Holton KS 66436-1535 |
| Practice Telephone | 7853645051 |
| Practice Fax Number | 7853645010 |
| Mailing Telephone | 7853645051 |
| Mailing Fax Number | 7853645010 |
| 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 | N043004 | KS | Agencies |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
N043004 | KS | Suppliers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
N043004 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100026530O | 05 |
| Other Name | Type Code |
|---|---|
| Gran Villas Holton | Doing Business As Name - Organization |
| 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 |
410 JUNIPER DR |
| City | HOLTON |
| State | KS |
| Zip Code | 66436-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265897805 | Cpf Senior Living - Holton LLC | Assisted Living Facility | 410 Juniper Dr, Holton, KS 66436-1535 | 2015-12-28 |
| 1730337965 | Vintage Park At Holton, LLC | Assisted Living Facility | 410 Juniper Dr, Holton, KS 66436-1535 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528180734 | William E. Kinkade IIi | Physician Assistant | 1100 Columbine Drive, Holton, KS 66436 | 2007-04-06 |
| 1669573424 | Jerry E Young | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1710943634 | Ladona Marie Schmidt | Family Medicine | 1110 Columbine Drive, Holton, KS 66436 | 2006-04-21 |
| 1669917688 | Deanna Lynn Goff | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2016-12-29 |
| 1316384332 | Dallas W Dooley | Registered Nurse | 1100 Columbine Dr, Holton, KS 66436 | 2013-05-31 |
| 1114362050 | Erin R. Locke | Family Medicine | 1100 Columbine Drive, Tacoma Family Medicine, Holton, KS 66436 | 2013-05-06 |
| 1336487412 | Jill S Collins | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2013-01-23 |
| 1578664330 | Jerry E. Young, D.d.s., P.a. | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1164442687 | Holton Usd 336 Holton Special Education Cooperative | Local Education Agency (LEA) | 515 Pennsylvania Ave, Holton, KS 66436 | 2006-07-20 |
| 1619947744 | Jana D Kramer | Family Medicine | 1603 W 4th St, Holton, KS 66436 | 2006-01-23 |
| Find all providers in zip 66436 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| 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.