NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Community Care Connections Ft. Scott

  • Home Health Agency
  • Fort Scott, KS
National Provider Identifier
1346330149
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDICALODGES, INC.
Doing business as
Community Care Connections Ft. Scott
Practice address
120 E Wall St
Fort Scott, KS 66701-1425
Phone
(620) 223-5085
Fax
(620) 223-4801
NPI assigned
Oct 13, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Cathy W Fisher
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X KS Primary

Addresses

Primary practice location

120 E Wall St
Fort Scott, KS 66701-1425

Mailing address

120 E Wall St
P O Box 565
Fort Scott, KS 66701-1425
Phone (620) 223-5085

Other identifiers 1

IdentifierTypeStateIssuer
100026530CMedicaidKS

Other names 1

  • Community Care Connections Ft. Scott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

120 E Wall St
Fort Scott, KS 66701
Phone (620) 223-5085

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1346330149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WALL ST",
            "address_2": "P O BOX 565",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011425",
            "telephone_number": "620-223-5085",
            "fax_number": "620-223-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E WALL ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011425",
            "telephone_number": "620-223-5085",
            "fax_number": "620-223-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026530C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Connections Ft. Scott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.