Medicalodges, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N008001 Issued in KS

Legal business name

MEDICALODGES, INC.

Doing business as

Medicalodges Douglass

Practice address

619 S US Highway 77
Douglass, KS 67039-8321

Phone

(316) 747-2157

Fax

(316) 747-2084

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cathy W Fisher

Title

V.P. of Financial Reporting

Phone

(620) 251-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicalodges Douglass Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medicalodges, Inc.

  • Skilled Nursing Facility
  • Columbus, KS
  • NPI 1609963578

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1164503249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S US HIGHWAY 77",
            "city": "DOUGLASS",
            "state": "KS",
            "postal_code": "670398321",
            "telephone_number": "316-747-2157",
            "fax_number": "316-747-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S US HIGHWAY 77",
            "city": "DOUGLASS",
            "state": "KS",
            "postal_code": "670398321",
            "telephone_number": "316-747-2157",
            "fax_number": "316-747-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "V.P. OF FINANCIAL REPORTING",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N008001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Douglass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglass Family Chirpractic, PA
• Sasha Edwards, PMHNP-BC
• Kansas Mobile Healthcare LLC
• Candace Law, D.C.
• Nellie Lynn McCune, MSN, APRN, FNP-C
• Brittni R Sills, LMSW
• Usd 396 Douglass Public Schools
• Mariana Wessling

• Skilled Nursing Facility in Douglass, KS
• Providers in Douglass, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.