NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Medicalodges Paola

  • Skilled Nursing Facility
  • Paola, KS
National Provider Identifier
1417045139
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N061002 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Medicalodges Paola
Practice address
501 Assembly LN
Paola, KS 66071-1854
Phone
(913) 294-3345
Fax
(913) 294-3115
NPI assigned
Oct 10, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N061002 KS Primary

Addresses

Primary practice location

501 Assembly LN
Paola, KS 66071-1854

Mailing address

501 Assembly LN
Paola, KS 66071-1854
Phone (913) 294-3345

Other identifiers 1

IdentifierTypeStateIssuer
100109750AMedicaidKS

Other names 1

  • Medicalodges Paola Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001174 KS Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Paola, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417045139. Details of each certification follow.

Skilled nursing facility certification: CCN 175413

Legal name
MEDICALODGES INC
Doing business as
MEDICALODGES PAOLA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1997
Last certification
Nov 6, 2023
Beds
93 (70 certified)
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1976 in KS
Enrollment address
501 Assembly LN
Paola, KS 66071-1854
Nursing home name
MEDICALODGES PAOLA
Affiliated entity
MEDICALODGES, INC.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medicalodges PaolaCCN 175413 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7067.6 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain
Penalties (3 years)
3Fines totaling $78,225

Processed by Care Compare on Aug 1, 2026.

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

501 Assembly Ln
Paola, KS 66071
Phone (913) 294-3345

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Catherine W Rohling McCord Individual Corporate OfficerVP of Financial Reporting Jun 9, 2000
Ron Ott Individual W-2 Managing EmployeeAdministrator Oct 21, 1996 100%
Kathleen L Lantz Individual Corporate OfficerRegional Vice President Oct 22, 2007
Travis I McBride Individual Corporate OfficerRegional Vice President Nov 15, 2012
Lori a Waechter Harmon Individual Corporate OfficerVice President of Revenue/Reimburse Mar 25, 2019
Pamela L Smith Individual Corporate OfficerVP of Corporate Compliance Jan 1, 2016
Staci Cardenas Individual Corporate OfficerRegional Director of Operations May 28, 2013
Carol Marshall Individual Corporate Director Jan 1, 2016
Gayle M Doll Individual Corporate DirectorBoard Member Mar 10, 2005
Medicalodges Inc Organization, Coffeyville, KS For-profit 5% Or Greater Direct Ownership Interest Jul 22, 2009
Teresa Coover Individual Corporate OfficerVP of Clinical Services Jul 7, 2016
Allie Jallow Individual W-2 Managing EmployeeAdminstrator Feb 14, 2019
Garen L Cox Individual Corporate OfficerPresident Ceo General Counsel May 21, 1976
Corporate DirectorPresident Ceo General Counsel Feb 26, 1998
Scott L Hines Individual Corporate OfficerVP/Cfo Mar 20, 2009
Corporate DirectorVP.Cfo Mar 19, 2009
Shannon M Lager Individual Corporate OfficerVP/ Chief Clinical Officer Jun 15, 2013

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Health Care Center Arkansas City

    • Skilled Nursing Facility
    • Arkansas City, KS
    • NPI 1528156320

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Great Bend

    • Skilled Nursing Facility
    • Great Bend, KS
    • NPI 1669967436

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Eudora

    • Skilled Nursing Facility
    • Eudora, KS
    • NPI 1700067279

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Ft. Scott

    • Skilled Nursing Facility
    • Fort Scott, KS
    • NPI 1720040744

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Leavenworth

    • Skilled Nursing Facility
    • Leavenworth, KS
    • NPI 1942300215

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Frontenac

    • Skilled Nursing Facility
    • Frontenac, KS
    • NPI 1992044184

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Butler

    • Skilled Nursing Facility
    • Butler, MO
    • NPI 1437247053

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 15

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medicalodges WichitaWichita, KS, CCN 175008 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 15, 2025
Medicalodges DeweyDewey, OK, CCN 375150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Fort ScottFort Scott, KS, CCN 175258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Arkansas CityArkansas City, KS, CCN 175313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2015
PharmericaColumbus, KS, CCN 175264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2014
Medicalodges NeoshoNeosho, MO, CCN 265266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges ButlerButler, MO, CCN 265564 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges KinsleyKinsley, KS, CCN 175275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 4, 1966
Medicalodges NevadaNevada, MO, CCN 265493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges AtchinsonAtchison, KS, CCN 175141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 1966
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 16, 2025
Medicalodges EudoraEudora, KS, CCN 175502 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2007
Medicalodges FrontenacFontenac, KS, CCN 175363 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2013
Mar 1, 2013
Dec 17, 2025
Medicalodges IndependenceIndependence, KS, CCN 175464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Nov 1, 2013
Medicalodges Great BendGreat Bend, KS, CCN 175522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Aug 1, 2018
Medicalodges Coffeyville on MidlandCoffeyville, KS, CCN 175290 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges IolaIola, KS, CCN 175226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges GoddardGoddard, KS, CCN 175294 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Nov 14, 2025

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Health Care Center Arkansas City

    • Skilled Nursing Facility
    • Arkansas City, KS
    • NPI 1528156320

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Great Bend

    • Skilled Nursing Facility
    • Great Bend, KS
    • NPI 1669967436

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Eudora

    • Skilled Nursing Facility
    • Eudora, KS
    • NPI 1700067279

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Ft. Scott

    • Skilled Nursing Facility
    • Fort Scott, KS
    • NPI 1720040744

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Leavenworth

    • Skilled Nursing Facility
    • Leavenworth, KS
    • NPI 1942300215

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Frontenac

    • Skilled Nursing Facility
    • Frontenac, KS
    • NPI 1992044184

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • ML-Op Coffeyville LLC
    • Skilled Nursing Facility
    • Coffeyville, KS
    • NPI 1952041154

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 18

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1417045139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ASSEMBLY LN",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711854",
            "telephone_number": "913-294-3345",
            "fax_number": "913-294-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ASSEMBLY LN",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711854",
            "telephone_number": "913-294-3345",
            "fax_number": "913-294-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "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": "N061002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Paola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.