MEDICALODGES, INC. (NPI# 1760579700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760579700 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | NEW HORIZONS PITTSBURG |
| Practice Address |
2702 N Joplin St Pittsburg KS 66762-2645 |
| Practice Telephone | 6202313910 |
| Practice Fax Number | 6202313912 |
| Mailing Telephone | 6202313910 |
| Mailing Fax Number | 6202313912 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-06-26 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | N019005 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100107330B | 05 |
| Other Name | Type Code |
|---|---|
| New Horizons Pittsburg | 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 |
2702 N JOPLIN ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306907969 | Medicalodges, Inc. | Clinic/Center | 2702 N Joplin St, Pittsburg, KS 66762-2645 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
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|---|---|---|---|---|
| 1255836342 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 94 Atherton Cir, Pittsburg, CA 94565-4708 | 2018-03-29 |
| 1013070036 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 3939 Meadowbrook Cir, Pittsburg, CA 94565 | 2006-12-19 |
| 1750444345 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 94 Atherton Circle, Pittsburg, CA 94565 | 2006-12-18 |
| 1972069763 | Amd Alternative Care Services | Intermediate Care Facility, Mentally Retarded | 3939 Meadowbrook Cir, Pittsburg, CA 94565-5539 | 2019-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598946733 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1427 Linn Ave, Emporia, KS 66801-3562 | 2007-11-15 |
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| 1912195249 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1335 E 5th Ave, Emporia, KS 66801-3626 | 2007-10-11 |
| 1487842712 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 702 Mulberry St, Neosho Rapids, KS 66864-8752 | 2007-10-11 |
| 1184812422 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1310 Housatonic St, Burlington, KS 66839-2261 | 2007-10-11 |
| 1497970537 | Hartford, Inc. | Intermediate Care Facility, Mentally Retarded | 116 Congress, Hartford, KS 66854 | 2007-04-16 |
| 1225253677 | Hartford, Inc. | Intermediate Care Facility, Mentally Retarded | 116 Congress St, Hartford, KS 66854 | 2007-04-13 |
| 1417171398 | Hartford, Inc. | Intermediate Care Facility, Mentally Retarded | 116 Apache St, Hiawatha, KS 66434-2634 | 2007-04-12 |
| 1821212705 | Hartford, Inc. | Intermediate Care Facility, Mentally Retarded | 211 Neosho St, Hartford, KS 66854-9400 | 2007-04-12 |
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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.