Medicalodges, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N019004 Issued in KS

Legal business name

MEDICALODGES, INC.

Doing business as

Medicalodges Pittsburg

Practice address

2520 S Rouse St
Pittsburg, KS 66762-6605

Phone

(620) 231-0300

Fax

(620) 231-1818

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Medicalodges Pittsburg Doing business as

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1780771717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S ROUSE ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626605",
            "telephone_number": "620-231-0300",
            "fax_number": "620-231-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S ROUSE ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626605",
            "telephone_number": "620-231-0300",
            "fax_number": "620-231-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-10-31",
        "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": "N019004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107380A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Pittsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medicalodges, Inc.
• Medicalodges, Inc.
• Medicalodges, Inc.
• Medicalodges, Inc.
• Medicalodges, Inc.
• William G Meeks
• Albert Mendez, D.D.S
• Lauren E Mendicki
• Debra Mengarelli, LCMFT
• Menm, LLC

• Skilled Nursing Facility in Pittsburg, KS
• Providers in Pittsburg, 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 Oct 31, 2011; 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.