MEDICALODGES, INC. (NPI# 1962583765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962583765 |
Entity Type | Organization |
Organization Name | MEDICALODGES, INC. |
Other Organization Name | GRAN VILLAS HIAWATHA |
Practice Address |
400 Kansas Ave Hiawatha KS 66434-1954 |
Practice Telephone | 7857424566 |
Practice Fax Number | 7857424573 |
Mailing Telephone | 7857424566 |
Mailing Fax Number | 7857424573 |
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 | N007006 | KS | Agencies |
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
N007006 | KS | Suppliers |
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
N007006 | KS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100026530P | 05 |
Other Name | Type Code |
---|---|
Gran Villas Hiawatha | 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 |
400 KANSAS AVE |
City | HIAWATHA |
State | KS |
Zip Code | 66434-1954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356706998 | Cpf Senior Living - Hiawatha LLC | Assisted Living Facility | 400 Kansas Ave, Hiawatha, KS 66434-1954 | 2015-12-28 |
1194973321 | Vintage Park At Hiawatha, LLC | Assisted Living Facility | 400 Kansas Ave, Hiawatha, KS 66434-1954 | 2008-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154970739 | Lily Ann Mccarty | Technician | 200 Iowa St, Hiawatha, KS 66434 | 2019-09-06 |
1710498704 | June Marie Gerety | Speech-Language Pathologist | 201 S 4th St., Hiawatha, KS 66434 | 2017-10-17 |
1609205160 | Kaitlin Meade | Counselor | 990 S. 2nd St., Hiawatha, KS 66434 | 2013-11-05 |
1588003883 | Maggie Ryan Gilliland | Psychologist | 902 S. 2nd Street, Hiawatha, KS 66434 | 2013-06-19 |
1942464862 | Thomas J Toland | Psychologist | 909 2nd Street, Hiawatha, KS 66434 | 2008-07-10 |
1336329556 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 402 Miami, Hiawatha, KS 66434 | 2007-11-05 |
1679630610 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434 | 2007-01-02 |
1649364704 | Amy Louise Havens Lower | Optometrist | 109 S 6th St # A, Hiawatha, KS 66434 | 2006-10-03 |
1720198484 | Searight Family Practice, Pa | Family Medicine | 313 Utah Street, Hiawatha, KS 66434 | 2006-08-30 |
1659343671 | Lowell R Searight | Family Medicine | 313 Utah St, Hiauatha, KS 66434 | 2006-02-03 |
Find all providers in zip 66434 |
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.