Organization Active NPI

Medicalodges, Inc.

Doing business as Medicalodges Kinsley

  • Skilled Nursing Facility
  • Kinsley, KS
National Provider Identifier
1730277690
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N024001 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Medicalodges Kinsley
Practice address
620 Winchester Ave
Kinsley, KS 67547-2348
Phone
(620) 659-2156
Fax
(620) 659-2043
NPI assigned
Oct 10, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mr. Scott L Hines
Title
Chief Financial Officer
Phone
(620) 709-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N024001 KS Primary

Addresses

Primary practice location

620 Winchester Ave
Kinsley, KS 67547-2348

Mailing address

620 Winchester Ave
Kinsley, KS 67547-2348
Phone (620) 659-2156

Other identifiers 1

IdentifierTypeStateIssuer
100109620AMedicaidKS

Other names 1

  • Medicalodges Kinsley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030910000024 KS Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Kinsley, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730277690. Details of each certification follow.

Skilled nursing facility certification: CCN 175275

Legal name
MEDICALODGES INC
Doing business as
MEDICALODGES KINSLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1994
Last certification
Nov 20, 2024
Beds
50 (42 certified)
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1976 in KS
Enrollment address
620 Winchester Ave
Kinsley, KS 67547-2348
Nursing home name
MEDICALODGES KINSLEY
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 KinsleyCCN 175275 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4220.9 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain
Penalties (3 years)
1Fines totaling $53,580

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

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 Financial Reporting Jun 9, 2000
Ron Ott Individual Corporate DirectorBoard Member Sep 15, 2006
Kathleen L Lantz Individual Corporate OfficerRegional Vice President Oct 22, 2007
Travis I McBride Individual Corporate OfficerRegioanl VP Nov 15, 2012
Lori a Waechter Harmon Individual Corporate OfficerVice President Revenue Management Mar 31, 2018
Richard Butler Individual Corporate DirectorChairman Board of Directors Jul 1, 2003
Angela Dreiling Individual W-2 Managing EmployeeAdministrator Jan 1, 2022
Staci Cardenas Individual Corporate OfficerRegional Director of Operations May 28, 2013
Carol Marshall Individual Corporate DirectorBoard Member Jul 27, 2006
Gayle M Doll Individual Corporate DirectorBoard Member Mar 10, 2005
Medicalodges Inc Organization, Coffeyville, KS Corporation, For-profit 5% Or Greater Direct Ownership Interest May 4, 1966 100%
Teresa Coover Individual Corporate OfficerChief Clinical Officer Sep 21, 2017
Garen L Cox Individual Corporate DirectorBoard Member Feb 26, 1998
Scott L Hines Individual Corporate OfficerPresident and Ceo Mar 20, 2009
Corporate DirectorPresident and Ceo Mar 19, 2009
Shannon M Lager Individual Corporate OfficerChief Clinical Officer/VP 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.

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 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 PaolaPaola, KS, CCN 175413 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 22, 2009
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.

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 2

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": "1320105600000",
    "number": "1730277690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WINCHESTER AVE",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472348",
            "telephone_number": "620-659-2156",
            "fax_number": "620-659-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WINCHESTER AVE",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472348",
            "telephone_number": "620-659-2156",
            "fax_number": "620-659-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-709-0305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N024001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109620A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Kinsley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinsley, KS

Sources for this page

Verify at the official NPI Registry.